CYNTHIA DIANE MANTOOTH


Address: 815 W 5th North St, Morristown, TN 37814-3810
Phone: 4235865032

CYNTHIA DIANE MANTOOTH (NPI# 1649742149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649742149
Entity Type Individual
Full Name CYNTHIA DIANE MANTOOTH
Other Name CYNTHIA DIANE BUCKNER
Credential APRN
Practice Address 815 W 5th North St
Morristown
TN 37814-3810
Mailing Address 6350 W Andrew Johnson Hwy
Talbott
TN 37877-8605
Practice Telephone 4235865032
Practice Fax Number 4235818473
Mailing Telephone 8003553565
Mailing Fax Number 4237142355
Enumeration Date 2018-12-20
Last Update Date 2020-09-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN165055 TN Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
25247 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 815 W 5TH NORTH ST
City MORRISTOWN
State TN
Zip Code 37814-3810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508860917 Linda Susan Gourley Nurse Practitioner 815 W 5th North St, Morristown, TN 37814-3810 2005-06-13
1538776059 Kyla Michelle Taylor Technician, Pathology 815 W 5th North St, Morristown, TN 37814-3810 2020-09-29
1245848480 Rebecca Hope Gilley Student in an Organized Health Care Education/Training Program 815 W 5th North St, Morristown, TN 37814-3810 2020-07-14
1740813674 Scottie Eugene Cox Technician, Other 815 W 5th North St, Morristown, TN 37814-3810 2020-02-19
1598395980 Bibiana Antenorio Franklin Technician, Other 815 W 5th North St, Morristown, TN 37814-3810 2020-01-24
1043863665 Mason Logan James Technician, Other 815 W 5th North St, Morristown, TN 37814-3810 2019-07-23
1184276024 Juliana Cecelia Pressley Case Manager/Care Coordinator 815 W 5th North St, Morristown, TN 37814-3810 2019-07-11
1831741644 Christin Nicole Collie Student in an Organized Health Care Education/Training Program 815 W 5th North St, Morristown, TN 37814-3810 2019-07-11
1841859410 Rachel Betts Registered Nurse 815 W 5th North St, Morristown, TN 37814-3810 2019-06-07
1477112233 Kaitlyn Paige Benson Registered Nurse 815 W 5th North St, Morristown, TN 37814-3810 2019-06-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700357035 Morristown Heart, Pllc Internal Medicine Morristown Heart, Pllc, 735 Mcfarland Street, Morristown, TN 37814 2018-12-16
1669942207 Amanda Madeline Still Case Manager/Care Coordinator 310 West Third North Street, Morristown, TN 37814 2018-11-27
1750858353 April Caroline Lankford Case Manager/Care Coordinator 310 W 3rd North Street, Morristown, TN 37814 2018-11-01
1588165112 Cara Victoria Jill Mcmahan Registered Nurse 310 W 3rd N Street, Morristown, TN 37814 2018-02-28
1770084303 Janine Barnett Case Manager/Care Coordinator 210 W. 3rd North Street, Morristown, TN 37814 2018-02-28
1831616655 Genoa Healthcare, LLC Pharmacy 310 W 3rd North St Ste Pharm, Morristown, TN 37814 2017-08-23
1124542113 Jenny Lothamer Withem Speech-Language Pathologist 6205 Wintergreen Rd, Morristown, TN 37814 2017-08-01
1568998011 Urgent Care LLC Dba This Visit Clinic/Center 2261 Sandstone Drive, Morristown, TN 37814 2017-05-03
1225587157 Urgent Care LLC Dba This Visit Clinic/Center 2261 Sandstone Dr., Morristown, TN 37814 2016-10-04
1225406317 Alps Adult Day Services Clinic/Center 600 N. Daisy St., Morristown, TN 37814 2015-09-08
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023624319 Andrea Lora Acquaviva-kimbrough Nurse Practitioner 1436 Crest View Cir, Morristown, TN 37814-1541 2020-09-22
1013523653 Tina Marie Hurley Nurse Practitioner 4160 Azalea Ct, Morristown, TN 37814-6794 2020-09-18
1841756152 Tina E Bowles Nurse Practitioner 1532 W Andrew Johnson Hwy, Morristown, TN 37814-3733 2019-02-12
1942765615 Kristie Vaughn Greenlee Nurse Practitioner 1204 Walters Dr, Morristown, TN 37814-6138 2019-02-06
1427550847 Sherri Elizabeth Carlisle Nurse Practitioner 420 W Morris Blvd Ste 410, Morristown, TN 37813 2018-03-01
1326585332 Michael Hance Nurse Practitioner 313 E 3rd North St, Morristown, TN 37814-4450 2017-01-27
1659742567 Lauren Claudia Kroening Nurse Practitioner 506 W Morris Blvd, Morristown, TN 37813-2132 2015-10-19
1275900011 True Life Wellness Nurse Practitioner 4070 W Andrew Johnson Hwy, Morristown, TN 37814-1104 2015-08-27
1679966162 Mountain Health Clinic, LLC Nurse Practitioner 310 Kensington Dr, Morristown, TN 37814 2015-03-09
1174913180 Whitney Howington Nurse Practitioner 2261 Sandstone Dr, Morristown, TN 37814 2015-01-28
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Competitor

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City MORRISTOWN
Zip Code 37814

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Dataset Information

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.

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