Mending Hearts Wellness Center of Tennessee LLC

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

Legal business name

MENDING HEARTS WELLNESS CENTER OF TENNESSEE LLC

Practice address

854 Highway 92 S Ste B
Dandridge, TN 37725-4969

Phone

(865) 484-9355

Fax

(865) 484-9899

NPI assigned

Sep 13, 2021

Organization subpart

No

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

Authorized official

Name

Christi D Banks, APNNPI 1992823512

Title

Owner

Phone

(865) 579-6756

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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

• Christi D Banks, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Dandridge, TN
  • NPI 1992823512
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1740959683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1205",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377251205",
            "telephone_number": "865-484-9355",
            "fax_number": "865-484-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 HIGHWAY 92 S STE B",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254969",
            "telephone_number": "865-484-9355",
            "fax_number": "865-484-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING HEARTS WELLNESS CENTER OF TENNESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-579-6756",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Care EMS, LLC
• Gretta A Logan, RN
• Elizabeth C Lovelace-Summitt, PHARM.D.
• Jerry Mathis, PHARMD
• David P McNabney, M.D.
• Kaitlyn Mitchell, PA-C
• Drew R. Moncrief, D.O.
• Andrea Moore, PTA
• Karen Elaine Nelson, R.N.
• New Day Clinic

• Prescribing (Medical) Psychologist in Dandridge, TN
• Providers in Dandridge, TN by specialty
• Prescribing (Medical) Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.