Active NPI
Ronnie Cutshall, LPN
- Licensed Practical Nurse
- Greeneville, TN
National Provider Identifier
1336457027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 43493
- Practice address
- 405 Walters Rd
Greeneville, TN 37743-5674 - Phone
- (423) 948-7305
- NPI assigned
- Sep 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 43493 | TN | Primary |
Addresses
Primary practice location
405 Walters Rd
Greeneville, TN 37743-5674
Mailing address
405 Walters Rd
Greeneville, TN 37743-5674
Phone (423) 948-7305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPN0000043493 | Other | TN | TENNESSEE STATE BOARD OF NURSING |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43493 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418256000000",
"number": "1336457027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 WALTERS RD",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377435674",
"telephone_number": "423-948-7305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 WALTERS RD",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377435674",
"telephone_number": "423-948-7305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUTSHALL",
"first_name": "RONNIE",
"name_prefix": "Mr.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-16",
"last_updated": "2014-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "TN",
"license": "43493",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNESSEE STATE BOARD OF NURSING",
"identifier": "LPN0000043493",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greeneville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.