Individual provider Active NPI

Cheryl Lynn Wathen, APRN

  • Adult Health Nurse Practitioner
  • McMinnville, TN
National Provider Identifier
1518238484
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN0000016249 Issued in TN
Practice address
312 N Chancery St
McMinnville, TN 37110-2048
Phone
(931) 474-7000
Fax
(931) 474-7040
NPI assigned
Jan 24, 2012
Last updated
Jun 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 16249 TN
Adult Health Nurse Practitioner 363LA2200X APN0000016249 TN Primary

Addresses

Primary practice location

312 N Chancery St
McMinnville, TN 37110-2048

Mailing address

6701 Baum Dr
Suite 140
Knoxville, TN 37919-7360
Phone (865) 584-5727

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120712000543 TN Practitioner - Nurse Practitioner 4688839889 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000016249TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher P. Dill MD, PLLC CurrentSince Apr 9, 2021 Accepting new patients
Highlands Healthcare, PLLC CurrentSince Apr 9, 2021 Accepting new patients
Allergy Associates, P.a. Past Accepting new patients

Locations

315 N Washington Ave
Ste 175
Cookeville, TN 38501
Phone (931) 526-1604

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1518238484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 BAUM DR",
            "address_2": "SUITE 140",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197360",
            "telephone_number": "865-584-5727",
            "fax_number": "865-450-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N CHANCERY ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371102048",
            "telephone_number": "931-474-7000",
            "fax_number": "931-474-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATHEN",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "16249",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN0000016249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

Verify at the official NPI Registry.