Cedar Creek Pediatric & Adolescent Medicine, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CEDAR CREEK PEDIATRIC & ADOLESCENT MEDICINE, PC

Practice address

616 Smithview Dr
Maryville, TN 37803-6100

Phone

(865) 379-2277

Fax

(865) 379-1191

NPI assigned

Apr 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Shannon R Linginfelter, FNPNPI 1386675569

Title

Practice Administrator

Phone

(865) 379-2277

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon R Linginfelter, MSN, FNP-BC

  • Family Nurse Practitioner
  • Maryville, TN
  • NPI 1386675569
  NPD (past) Authorized official
• Lori A Baxter, M.D., FAAP

  • Pediatrics Physician
  • Maryville, TN
  • NPI 1669416921
  NPD (past)
• Heather Marie Bolinger, FNP-BC

  • Family Nurse Practitioner
  • Maryville, TN
  • NPI 1396184081
  NPD (past)
• Lana G Fox, M.D.

  • Pediatrics Physician
  • Maryville, TN
  • NPI 1578594958
  NPD (past)
• Katherine J Martin, MSN, CPNP

  • Pediatric Nurse Practitioner
  • Maryville, TN
  • NPI 1437189990
  NPD (past)
• Susan E Wilson, CPNP

  • Critical Care Neonatal Nurse Practitioner
  • Maryville, TN
  • NPI 1336174093
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003039223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 SMITHVIEW DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036100",
            "telephone_number": "865-379-2277",
            "fax_number": "865-379-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 SMITHVIEW DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036100",
            "telephone_number": "865-379-2277",
            "fax_number": "865-379-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREEK PEDIATRIC & ADOLESCENT MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINGINFELTER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "865-379-2277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Nicole Carver, MD
• Damian Lee Cash
• Rebecca Cassity, PHARMD
• Caughron Transport Service LLC
• Mary C. Cawthorn, PT
• Kevin Brian Chadwick
• Angela Christine Chaffin, NP
• Caitlyn Michelle Chaires, FNP-BC
• Sonya Chairez
• Brooke Borla Chalmers, P.A.

• Pediatrics Physician in Maryville, TN
• Providers in Maryville, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.