Open Door Primary Care & Wellness

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

OPEN DOOR PRIMARY CARE & WELLNESS

Practice address

228 N Fairmont Ave
Morristown, TN 37814-3768

Phone

(865) 236-0425

NPI assigned

Jan 23, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Cristy Anne Stallings, FNP

Title

Co-Owner

Phone

(865) 236-0425

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Mantooth, NP

  • Family Nurse Practitioner
  • Newport, TN
  • NPI 1487101036
  NPD (past)

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1386359446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2023",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378162023",
            "telephone_number": "865-236-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N FAIRMONT AVE",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143768",
            "telephone_number": "865-236-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR PRIMARY CARE & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "STALLINGS",
        "authorized_official_first_name": "CRISTY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "865-236-0425",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Lynn Ogle
• Tracy Olide
• David Olsen
• Charla Rhea Olson, APN
• Joseph C Olson, PT
• Orthotennessee, PC
• Orthotennessee, PC
• Kim Denise Osbon, R.N.
• Bradford A Ottens
• Ashley C Overbay, APN

• All providers in Morristown, TN
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.