Abigail Chassie Wyatt

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

312 Prince St
Sevierville, TN 37862-3823

Phone

(865) 774-7684

NPI assigned

Jun 29, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15627/brand/1/csg/1/fhir/r4

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

• Mountain Hope Good Shepherd Clinic

  • Primary Care Clinic/Center
  • Sevierville, TN
  • NPI 1477824241
  NPD (past)

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1215614441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7123 ANGEL PLACE LN",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "377212543",
            "telephone_number": "865-936-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 PRINCE ST",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623823",
            "telephone_number": "865-774-7684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7123 Angel Place Ln",
            "address_purpose": "LOCATION",
            "city": "Corryton",
            "state": "TN",
            "postal_code": "377212543",
            "country_code": "US",
            "telephone_number": "865-936-2078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYATT",
        "first_name": "ABIGAIL",
        "middle_name": "CHASSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Charles Wise II, O.D.
• Matthew Hal Wolfenbarger
• Emily L Worsham, FNP
• Jesi Briona Wright, APRN, FNP-C
• Pamela F Wright, MSN, FNP-BC
• Bailey Nicole Wyatt, PA
• Laurel R Yaroch, RND
• Cole David Young, PHARMD.
• Jody Young, PHARMD
• Kristie G Young, DO

• Social Worker in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.