Individual provider Active NPI

Cynthia T Buckner, APN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1780004531
Registry record updated Apr 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN0000018665 Issued in TN
Practice address
2900 Tazewell Pike Ste G
Knoxville, TN 37918-1880
Phone
(865) 689-4421
NPI assigned
Apr 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN0000018665 TN Primary

Addresses

Primary practice location

2900 Tazewell Pike Ste G
Knoxville, TN 37918-1880

Mailing address

5317 Stoneoak LN
Knoxville, TN 37920-5023
Phone (865) 603-8006

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
I20140827002826 TN Practitioner - Nurse Practitioner 6507084860 Reassigns benefits to 1 organization
Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Parkwest Medical CenterGroup PAC ID 8527965417, 58 clinicians

Practice addresses (Care Compare)

1451 Dowell Springs Blvd
Knoxville, TN 37909-2441
Phone (865) 970-9800

203 Corporate PL
Alcoa, TN 37701-1940
Phone (865) 970-9800

2900 Tazewell Pike G
Knoxville, TN 37918-1880
Phone (865) 689-4421

9352 Park W Blvd
Knoxville, TN 37923-4325
Phone (865) 694-5700

Hospital & facility affiliations

  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000018665TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parkwest Medical Center CurrentSince May 18, 2015 Accepting new patients
Parkwest Medical Center CurrentSince May 18, 2015 Accepting new patients
New Path PLLC Psychiatric/Mental Health PastSince Aug 14, 2022 Accepting new patients

Locations

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397952000000",
    "number": "1780004531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 STONEOAK LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379205023",
            "telephone_number": "865-603-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 TAZEWELL PIKE STE G",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181880",
            "telephone_number": "865-689-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "CYNTHIA",
        "middle_name": "T",
        "credential": "APN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-20",
        "last_updated": "2014-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN0000018665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.