Active NPI
Amanda Joyce Cagle, MS, ATC-LAT
- Athletic Trainer
- Maryville, TN
National Provider Identifier
1770029233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1842
- Practice address
- 1410 Sevierville Rd
Maryville, TN 37804-5108 - Phone
- (865) 238-6090
- NPI assigned
- Jan 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1842 | TN | Primary |
Addresses
Primary practice location
1410 Sevierville Rd
Maryville, TN 37804-5108
Mailing address
1410 Sevierville Rd
Maryville, TN 37804-5108
Phone (865) 238-6090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1842 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health - Blount Memorial Hospital Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Maryville, TN
- NPI 1619939071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483920000000",
"number": "1770029233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 SEVIERVILLE RD",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378045108",
"telephone_number": "865-238-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 SEVIERVILLE RD",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378045108",
"telephone_number": "865-238-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAGLE",
"first_name": "AMANDA",
"middle_name": "JOYCE",
"credential": "MS, ATC-LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-09",
"last_updated": "2017-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "1842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.