Individual provider Active NPI

Scarlett Marie Mynatt, APN FNP PMHNP

  • Family Nurse Practitioner
  • Blaine, TN
National Provider Identifier
1912212879
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15560 Issued in TN
Practice address
1066 Rutledge Pike
Blaine, TN 37709-3027
Phone
(865) 465-3310
Fax
(865) 465-3307
NPI assigned
Aug 16, 2010
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15560 TN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 15560 TN
Critical Care Medicine Registered Nurse 163WC0200X 145791 TN

Addresses

Primary practice location

1066 Rutledge Pike
Blaine, TN 37709-3027

Mailing address

315 White Oak Dr
Seymour, TN 37865-5128

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Scarlettr@valleymedicaltn.com Direct

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
I20120110000238 TN Practitioner - Nurse Practitioner 1355517582 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley MedicalGroup PAC ID 8820471881, 4 clinicians

Practice addresses (Care Compare)

2545 Jacksboro Pike
Jacksboro, TN 37757-4847
Phone (423) 352-6090

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
145791TNMDCritical Care Medicine Registered Nurse
15560TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Valley Medical Family CurrentSince May 14, 2025 Accepting new patients
Sr Medical Services CurrentSince Aug 6, 2024 Accepting new patients
Smoky Mountain Home Health & Hospice, Inc Past Accepting new patients

Locations

1066 Rutledge Pike
Blaine, TN 37709
Phone (865) 465-3310

2497 S Roane St
Ste 110
Harriman, TN 37748
Phone (865) 599-0300

2545 Jacksboro Pike
Jacksboro, TN 37757
Phone (423) 352-6090

Interoperability endpoints

  • Direct secure messaging: scarlettr@valleymedicaltn.com

Organizations & group practices 4

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.

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": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1912212879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WHITE OAK DR",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655128",
            "fax_number": "865-281-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 RUTLEDGE PIKE",
            "city": "BLAINE",
            "state": "TN",
            "postal_code": "377093027",
            "telephone_number": "865-465-3310",
            "fax_number": "865-465-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYNATT",
        "first_name": "SCARLETT",
        "middle_name": "MARIE",
        "credential": "APN FNP PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15560",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "15560",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TN",
            "license": "145791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Scarlettr@valleymedicaltn.com",
            "affiliation": "N",
            "endpointDescription": "Valley Medical",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1066 Rutledge Pike",
            "city": "Blaine",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377093027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blaine, TN

Sources for this page

Verify at the official NPI Registry.