Johnny Wade Nantz II

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

809 N 19TH St
Middlesboro, KY 40965

Phone

(606) 248-3042

NPI assigned

Sep 20, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Spero Health of Kentucky, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Danville, KY
  • NPI 1982102109
  NPD

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1982255030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 SILK STOCKING RD",
            "city": "WALLINS CREEK",
            "state": "KY",
            "postal_code": "408738963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N 19TH ST",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "40965",
            "telephone_number": "606-248-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANTZ",
        "first_name": "JOHNNY",
        "middle_name": "WADE",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Dental Care, PLLC
• Mountain Optical, LLC
• Elizabeth Emily Mouser, MSW, CSW
• Sulabha S. Mujumdar, M.D.
• Mary Kaitlyn Murray
• Jennifer Napier
• Neil G Barry III MD Inc
• Zachary Matthew Neverstitch, PHARMD
• Nexus Lab, Inc.
• Nicole Pursifull Family Practitioner

• Case Manager/Care Coordinator in Middlesboro, KY
• Providers in Middlesboro, KY by specialty
• Case Manager/Care Coordinator in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.