Active NPI
Lynda Marie Morelli, APRN
- Family Nurse Practitioner
- Jefferson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12749
- Practice address
- 1004 N Highway 92
Suite C
Jefferson City, TN 37760-3687 - Phone
- (865) 475-2120
- Fax
- (855) 544-2120
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 12749 | TN | Primary |
Addresses
Primary practice location
1004 N Highway 92
Suite C
Jefferson City, TN 37760-3687
Mailing address
7074 Mayfair St
Talbott, TN 37877-8528
Phone (865) 475-2120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12749 | Other | TN | TN APN |
Other names 1
- Ms. Lynda Marie Mannetta
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
482 Interstate Dr
Manchester, TN 37355-3109
Phone (931) 728-4718
606 N Broad St
New Tazewell, TN 37825-6610
Phone (423) 259-5002
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultacare Medical PLLC | Current | Accepting new patients | |
| Coffee Medical Group LLC | Past | Accepting new patients |
Locations
1225 E Weisgarber Rd
Ste 190
Knoxville, TN 37909
Phone (423) 259-5002
606 N Broad St
New Tazewell, TN 37825
Phone (423) 626-0466
415 Cole Dr
Pigeon Forge, TN 37863
Phone (865) 428-5454
1229 Fox Meadows Blvd
Ste 2
Sevierville, TN 37862
Phone (865) 365-4015
5261 Carrollton Pike
Ste A
Woodlawn, VA 24381
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 and National Provider Directory roles.
-
dba Dr. Hasemeier & Associates
- Family Medicine Physician
- New Tazewell, TN
- NPI 1225141492
-
dba Center for Family Medicine
- Rural Health Clinic/Center
- Manchester, TN
- NPI 1700192028
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tennova Healthcare-Jefferson Memorial Hospital
- General Acute Care Hospital
- Jefferson City, TN
- NPI 1972585347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1366584807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7074 MAYFAIR ST",
"city": "TALBOTT",
"state": "TN",
"postal_code": "378778528",
"telephone_number": "865-475-2120",
"fax_number": "855-544-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 N HIGHWAY 92",
"address_2": "SUITE C",
"city": "JEFFERSON CITY",
"state": "TN",
"postal_code": "377603687",
"telephone_number": "865-475-2120",
"fax_number": "855-544-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORELLI",
"first_name": "LYNDA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "12749",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN APN",
"identifier": "12749",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LYNDA",
"last_name": "MANNETTA",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jefferson City, TN
- Madison Misenheimer, OTR/L
- Christopher Mitchell
- Steven Jarvis Monroe, D.D.S.
- Katherine Montoto, FNP-C
- Jason Curtis Moore, PT
- Lorena Moreno, MSW
- Harold Eugene Morrill, O.D.
- Mossy Creek Rehab
- Mountain Valley RX 05 Inc (Jeffco Drug Center in Jefferson City)
- Mountain View Pediatrics and Internal Medicine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.