Bright Star Child and Adolescent Psychiatry LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BRIGHT STAR CHILD AND ADOLESCENT PSYCHIATRY LLC

Practice address

641 Morganton Square Dr
Maryville, TN 37801-4763

Phone

(865) 724-1590

Fax

(865) 724-1591

NPI assigned

Aug 27, 2019

Organization subpart

No

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

Authorized official

Name

Linda Cabage, APRNNPI 1770849127

Title

Owner

Phone

(865) 724-1590

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Linda Cabage, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Maryville, TN
  • NPI 1770849127
  NPD Authorized official
• Cynthia J Easter, M.D.

  • Pediatrics Physician
  • Maryville, TN
  • NPI 1659422053
  NPD (past)

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1609424274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 MORGANTON SQUARE DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014763",
            "telephone_number": "865-724-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 MORGANTON SQUARE DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014763",
            "telephone_number": "865-724-1590",
            "fax_number": "865-724-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT STAR CHILD AND ADOLESCENT PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "CABAGE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-724-1590",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Breeding, NP
• Star Bresee, CRNA
• James D Briggs, MD
• Jewell Annette Briggs, PTA
• Bright Futures Chiropractic, Inc
• John B Briley, DDS
• Charlie Reese Brinkley
• Shonda Oliver Brinkley
• Karen Beth Brinkmann, RDH
• Clint Ole Brodal, DMD

• Pediatrics Physician in Maryville, TN
• Providers in Maryville, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.