MS. LYNDA G WEATHERLY (NPI# 1821057738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821057738 |
| Entity Type | Individual |
| Full Name | MS. LYNDA G WEATHERLY |
| Credential | FNP |
| Practice Address |
119 Boone Ridge Dr Suite 201 Johnson City TN 37615-4998 |
| Practice Telephone | 4232821480 |
| Mailing Telephone | 4232821480 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2015-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
5176 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 33462251 | 05 |
| Street Address |
119 BOONE RIDGE DR SUITE 201 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37615-4998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639161722 | Melissa Dawn Venoy | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2005-08-16 |
| 1083157788 | Amy Hamilton | Nurse Practitioner | 119 Boone Ridge Dr, Ste 201, Johnson City, TN 37615-8000 | 2016-11-29 |
| 1366992851 | Nikki Daniell Vaughn | Registered Nurse | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2016-10-07 |
| 1790230183 | Laura Casey | Registered Nurse | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2016-08-16 |
| 1104277656 | Ipc Pac Healthcare Services of Tennessee PC | Psychologist | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2016-06-27 |
| 1487008835 | Amanda Milan Smith | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2016-04-21 |
| 1083084560 | Hannah Audia | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2015-09-28 |
| 1033593223 | Carleen Marie Ogle | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2015-07-17 |
| 1104209675 | Lindsey Townsend Elswick | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2015-07-02 |
| 1811379639 | Stacey Hubbard | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2015-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568962983 | Clayton Kilgore | Pharmacist | 208 Suncrest St Unit 1, Gray, TN 37615 | 2018-02-13 |
| 1346648268 | Jesse Mullins | Pharmacist | 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615 | 2014-12-09 |
| 1750650875 | Medical Education Assistance Corporation | Pediatrics | 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 | 2011-12-19 |
| 1700018603 | Anna Lynne Deal | Nurse Practitioner | 119 Boone Ridge Dr., Ste. 201, Johnson City, TN 37615 | 2009-08-11 |
| 1285876631 | Leigh A Furman | Occupational Therapist | 253 Wiltshire Dr., Gray, TN 37615 | 2009-04-01 |
| 1811098908 | Fay Lynn Bembry | Nurse Practitioner | 119 Boone Ridge Drive Ste. 201, Johnson City, TN 37615 | 2006-09-25 |
| 1871528976 | Boones Creek Medical Pllc | Family Medicine | 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615 | 2006-07-11 |
| 1568402048 | Joseph Vincent Pinyard Jr. | Family Medicine | 880 Boones Station Rd, Johnson City, TN 37615 | 2006-06-07 |
| 1548223084 | Pitchar Theerathorn | Internal Medicine | 119 Boone Ridge Drive, Suite 201, Johnson City, TN 37615 | 2006-04-07 |
| 1194717157 | Susan Kay Pennypacker | Nurse Practitioner | 140 Old Gray Station Rd, Suite 200, Gray, TN 37615 | 2005-08-16 |
| Find all providers in zip 37615 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316472509 | Total Health and Wellness | Nurse Practitioner | 801 E Watauga Ave Ste 2, Johnson City, TN 37601-4113 | 2017-04-25 |
| 1568570273 | East Tennessee State University | Nurse Practitioner | 365 Stout Drive, Nicks Hall Rm 160, Johnson City, TN 37614-6500 | 2006-08-25 |
| 1407884869 | Dana Allen | Nurse Practitioner | 403 Princeton Rd Ste 1, Johnson City, TN 37601-2040 | 2006-06-28 |
| 1720641137 | Brooke Nicole Griffith | Nurse Practitioner | 2312 Knob Creek Rd Ste 208, Johnson City, TN 37604-2367 | 2019-04-22 |
| 1174955090 | Ellen Patricia Reynolds | Nurse Practitioner | 52 Harrison St, Johnson City, NY 13790-2120 | 2013-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982658 | Kirsten Marie Doerfer | Nurse Practitioner | 8512 Golden Cloud Ln, Knoxville, TN 37931-3164 | 2020-11-06 |
| 1912506551 | Anna Simpson Jones | Nurse Practitioner | 1042 E 3rd St Ste 103, Chattanooga, TN 37403-2161 | 2020-10-24 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37615 |
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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.