Wendy Stout Henderson (NPI# 1407232689, PAC ID# 1052615622) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1407232689 |
| PAC ID by PECOS | 1052615622 |
| Professional Enrollment ID | I20160203000142 |
| Full Name | Wendy Stout Henderson |
| Organization Legal Name | EXAC CARE CROSSVILLE LLC |
| Address |
229 Interstate Dr 103 Crossville TN 38555-2704 |
| Phone Number | 9312105577 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7315100039 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440009 | CUMBERLAND MEDICAL CENTER |
| 440031 | ROANE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 229 Interstate Dr 103, Crossville, TN 38555-2704 | 9312105577 | EXAC CARE CROSSVILLE LLC |
| Organization Legal Name | EXAC CARE CROSSVILLE LLC |
| Physicians | 1 |
| Street Address |
229 INTERSTATE DR 103 |
| City | CROSSVILLE |
| State | TN |
| Zip | 38555-2704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dustin Joe Moss | Nurse Practitioner | Exac Care LLC | 229 Interstate Dr 103, Crossville, TN 38555-2704 |
| Kimberly C Bell | Nurse Practitioner | Exac Care LLC | 229 Interstate Dr 103, Crossville, TN 38555-2704 |
| Amandi N Proffitt | Nurse Practitioner | Exac Care LLC | 229 Interstate Dr 103, Crossville, TN 38555-2704 |
| April L Thornton | Nurse Practitioner | Exac Care LLC | 229 Interstate Dr 103, Crossville, TN 38555-2704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Arehart | Anesthesiology | 181 Matherly St, Crossville, TN 38555-1001 | |
| Brittany Hill Slatton | Nurse Practitioner | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Douglas R Carpenter | Family Medicine | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| John M Lewis | Internal Medicine | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Carissa Beth Cooper | Nurse Practitioner | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Julie Fossett | Nurse Practitioner | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Michael C Good | Obstetrics/gynecology | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Julie L Livesay | Nurse Practitioner | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Lia C Boyanton | Family Medicine | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Robert E Nichols | Internal Medicine | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Find all physicians in zip 38555 | |||
| City | CROSSVILLE |
| Zip Code | 38555 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CROSSVILLE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.