Individual provider Active NPI

Cathy L Maine, F.N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Bristol, TN
National Provider Identifier
1255357919
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
22334 Issued in TN
Practice address
100 5TH St Ste 310
Bristol, TN 37620-5919
Phone
(865) 588-3173
Fax
(865) 244-3579
NPI assigned
Jul 14, 2006
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 22334 TN Primary

Addresses

Primary practice location

100 5TH St Ste 310
Bristol, TN 37620-5919

Mailing address

100 5TH St Ste 310
Bristol, TN 37620-5919
Phone (865) 588-3173

Other identifiers 2

IdentifierTypeStateIssuer
1255357919MedicaidVA
Q008366MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040729000334 TN Practitioner - Nurse Practitioner 6800866633 Reassigns benefits to 3 organizations
I20050705000272 VA Practitioner - Nurse Practitioner 6800866633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthy Mind Counseling Services, IncGroup PAC ID 8325093081, 120 clinicians

Practice addresses (Care Compare)

100 5TH St
Suite 310
Bristol, TN 37620-5919
Phone (865) 588-3173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
DX Mso, PLLC CurrentSince Apr 4, 2018 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Nov 1, 2017 Accepting new patients
Healthy Mind Counseling Services, Inc CurrentSince Nov 17, 2025 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 24, 2015 Accepting new patients
Clinical & Forensic Consultation, LLC CurrentSince Nov 9, 2025 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 24, 2015 Accepting new patients
Royal Oak Pediatric Associates, Inc Past Accepting new patients
Wellmont Physician Services Inc Past Accepting new patients

Locations

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

100 5th St
Ste 310
Bristol, TN 37620
Phone (423) 822-5099

1025 Peerless Xing NW
Cleveland, TN 37312
Phone 4234765990 ext. 104

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867

6305 Lonas Dr
Ste 101
Knoxville, TN 37909
Phone (865) 584-0291

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

245 Medical Park Dr
Ste C
Marion, VA 24354
Phone (276) 378-1000

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.cathymaine@148560.advancedmd-direct.com

Organizations & group practices 10

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1255357919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 5TH ST STE 310",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376205919",
            "telephone_number": "865-588-3173",
            "fax_number": "865-244-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 5TH ST STE 310",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376205919",
            "telephone_number": "865-588-3173",
            "fax_number": "865-244-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINE",
        "first_name": "CATHY",
        "middle_name": "L",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "22334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255357919",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q008366",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.