MRS. MARYSOL MONTALVO THOMAS (NPI# 1720449697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720449697 |
| Entity Type | Individual |
| Full Name | MRS. MARYSOL MONTALVO THOMAS |
| Credential | FNP-C |
| Practice Address |
2358 Lifestyle Way Ste 100 Chattanooga TN 37421-4907 |
| Practice Telephone | 4236022750 |
| Mailing Telephone | 4236022750 |
| Mailing Fax Number | 4236022762 |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
21089 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1720 Gunbarrel Rd, Ste 108, Chattanooga, TN 374214144 | 7062772321 | 7064282812 |
| 4625 N Lee Hwy, Cleveland, TN 373124042 | 4236022750 | 4236022762 |
| Street Address |
2358 LIFESTYLE WAY STE 100 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-4907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285628917 | Christopher J Lesar | Specialist | 2358 Lifestyle Way Ste 100, Chattanooga, TN 37421-4907 | 2005-09-08 |
| 1497367692 | Laura Kirk | Nurse Practitioner | 2358 Lifestyle Way Ste 100, Chattanooga, TN 37421-4907 | 2020-08-19 |
| 1972161818 | Ashleigh Cates | Registered Nurse | 2358 Lifestyle Way Ste 100, Chattanooga, TN 37421-4907 | 2019-06-05 |
| 1790283422 | Ashley Katrice Elledge | Nurse Practitioner | 2358 Lifestyle Way Ste 100, Chattanooga, TN 37421-4907 | 2018-01-29 |
| 1942722020 | Veronica Jo O'steen | Nurse Practitioner | 2358 Lifestyle Way Ste 100, Chattanooga, TN 37421-4907 | 2017-07-11 |
| 1598155434 | Roxanne Yvonne Phillips | Nurse Practitioner | 2358 Lifestyle Way Ste 100, Chattanooga, TN 37421 | 2015-01-30 |
| 1114289774 | Daniel S. Krcelic | Surgery | 2358 Lifestyle Way Ste 100, Chattanooga, TN 37421 | 2012-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506551 | Anna Simpson Jones | Nurse Practitioner | 1042 E 3rd St Ste 103, Chattanooga, TN 37403-2161 | 2020-10-24 |
| 1275828519 | Lauren Brittany Patterson | Nurse Practitioner | 7000 Lee Hwy Ste 600, Chattanooga, TN 37421-6729 | 2011-06-15 |
| 1285189563 | Community Integrated Healthcare | Nurse Practitioner | 5618 Brainerd Rd, Chattanooga, TN 37411-5310 | 2016-08-17 |
| 1780095273 | Emily Ivens Prater | Nurse Practitioner | 455 N Highland Park Ave, Chattanooga, TN 37404-2016 | 2014-05-19 |
| 1285066480 | Dana Lynn Ross | Nurse Practitioner | 1521 Gunbarrel Rd, Suite 103, Chattanooga, TN 37421-3124 | 2013-07-30 |
| 1225325483 | Latosha K Walker | Nurse Practitioner | 615 Derby St, Attention: Hcs Hi&r, Chattanooga, TN 37404-1632 | 2011-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982658 | Kirsten Marie Doerfer | Nurse Practitioner | 8512 Golden Cloud Ln, Knoxville, TN 37931-3164 | 2020-11-06 |
| 1033724349 | Tatum Lee Severino I | Nurse Practitioner | 8819 Three Chimneys Dr E, Germantown, TN 38138-8206 | 2020-09-14 |
| 1871106930 | Munira Asif | Nurse Practitioner | 874 Schilling Farm Rd Apt 106, Collierville, TN 38017-7039 | 2020-08-28 |
| 1669000840 | Tekeyla Warfield | Nurse Practitioner | 2980 Poplar Ave, Memphis, TN 38111-3527 | 2020-04-01 |
| 1578197836 | Jessica Pratt | Nurse Practitioner | 512 Marbury Rd, Tullahoma, TN 37388-2142 | 2020-02-26 |
| 1730729278 | Anna Abigail Markus | Nurse Practitioner | 211 Long Branch Rd, Lawrenceburg, TN 38464-5400 | 2020-01-13 |
| 1023653037 | Staci Garner | Nurse Practitioner | 2508 Highway 130, Petersburg, TN 37144-8001 | 2019-11-13 |
| 1881238533 | Janna Rae Haskins | Nurse Practitioner | 5137 Vinnie Dell Drive, Chapel Hill, TN 37034 | 2019-11-05 |
| 1124676325 | Marde M Walker | Nurse Practitioner | 8225 Highway 51 North, Millington, TN 38053 | 2019-08-30 |
| 1952864449 | Misty A Roberson | Nurse Practitioner | 127 Oakland Dr, Gallatin, TN 37066-4725 | 2019-04-10 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.