Stephanie Wyrick Hartline, CST/CFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

2736 Misty Ridge Dr
Lenoir City, TN 37772-5678

Phone

(865) 988-6408

Fax

(865) 988-6408

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Wyrick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1447285804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2736 MISTY RIDGE DR",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725678",
            "telephone_number": "865-988-6408",
            "fax_number": "865-988-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2736 MISTY RIDGE DR",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725678",
            "telephone_number": "865-988-6408",
            "fax_number": "865-988-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLINE",
        "first_name": "STEPHANIE",
        "middle_name": "WYRICK",
        "credential": "CST/CFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "WYRICK",
            "credential": "CST/CFA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rudy Gary Hamm, PA-C
• Nancy Handly, RN
• Jennie R. Haney, CPNP
• Grace Harmon
• Melissa Ann Harrill, AAS
• Georgina Hatfield
• Michelle Hatter, BA, SOCIAL SCIENCE
• David Paul Hawk, DPM
• Kaylyn Hawkins
• Phillip K Haynie, MSN- CRNA

• Surgical Assistant in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Surgical Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.