Mary Jane Minnick, ACNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11823 Issued in TN

Practice address

1915 White Ave
Knoxville, TN 37916-2300

Phone

(865) 541-1720

Fax

(865) 541-1747

NPI assigned

Feb 1, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Jane Lehto Former name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thompson Oncology Group

  dba DBA Covenant Health Oncology Group

  • Hematology & Oncology Physician
  • Knoxville, TN
  • NPI 1619975737
  Medicare reassignment NPD
• Express Health Clinic Corporation

  • Urgent Care Clinic/Center
  • Jefferson City, TN
  • NPI 1336189158
  NPD (past)
• Nephrology Associates of Knoxville, PC

  dba University Nephrology

  • Nephrology Physician
  • Knoxville, TN
  • NPI 1114912433
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194796557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 WHITE AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162300",
            "telephone_number": "865-541-1720",
            "fax_number": "865-541-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 WHITE AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162300",
            "telephone_number": "865-541-1720",
            "fax_number": "865-541-1747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Boone Ridge Dr",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376154998",
            "country_code": "US",
            "telephone_number": "423-282-1480 x314",
            "fax_number": "423-928-1353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINNICK",
        "first_name": "MARY JANE",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "11823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY JANE",
            "last_name": "LEHTO",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara Ann Mink, LPN
• Joyce A Mink, LCSW
• Misty Nichole Minks, MSW
• Jewell Minnich
• Morgan Henry Minnich, FNP
• Minnis Drug Store Inc
• Lauren Yvonne Minor, PA-C
• William Minteer, M.D.
• Sandra Renee Minter, RBT CERTIFICATION
• Minton Family Therapy, PLLC

• Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.