Individual provider Active NPI

Cynthia Jean Eckert, APRN, MSN, FNP-C

  • Family Nurse Practitioner
  • Ooltewah, TN
National Provider Identifier
1215281076
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17065 Issued in TN
Practice address
9298 Apison Pike
Suite 106
Ooltewah, TN 37363-7267
Phone
(423) 709-9238
Fax
(423) 238-2271
NPI assigned
Nov 1, 2012
Last updated
May 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN225095 GA
Family Nurse Practitioner 363LF0000X 17065 TN Primary

Addresses

Primary practice location

9298 Apison Pike
Suite 106
Ooltewah, TN 37363-7267

Mailing address

205 Millersprings CT
Franklin, TN 37064-5434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN225095GAMDFamily Nurse Practitioner
17065TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tunnel Hill Walk in Medical Center, LLC CurrentSince Jan 18, 2017 Accepting new patients
Hargrave Emergency Physicians LLC Past Accepting new patients

Locations

3541 Chattanooga Rd
Tunnel Hill, GA 30755
Phone (706) 516-4426

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1215281076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MILLERSPRINGS CT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9298 APISON PIKE",
            "address_2": "SUITE 106",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373637267",
            "telephone_number": "423-709-9238",
            "fax_number": "423-238-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKERT",
        "first_name": "CYNTHIA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "APRN, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN225095",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.