Mindy Lynne Wimbley, CDA,RDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

10631 Issued in TN

Practice address

323 Fox Rd
Knoxville, TN 37922-3383

Phone

(865) 690-5231

Fax

(865) 691-4291

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497963342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 BELFAST ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014503",
            "telephone_number": "865-257-0454",
            "fax_number": "865-691-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 FOX RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223383",
            "telephone_number": "865-690-5231",
            "fax_number": "865-691-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMBLEY",
        "first_name": "MINDY",
        "middle_name": "LYNNE",
        "credential": "CDA,RDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "TN",
            "license": "10631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Leanne Wilson
• William Isaac Wilson, MSW, LCSW
• David Ellsworth Wilt, PH.D.
• Dorothy L. Wilt, RN, MSN
• Jon L Wilton, CRNA
• Pamela Wimbrow
• Rose Anne Borlat Wimmer, DPT
• Brian Winbigler, PHARM D
• Catherine S Winchell, FNP
• Rebekah O. Winchester, RN

• Dental Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Dental Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.