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Cynthia Whisenant

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1915 White Ave, Knoxville, TN 37916-2300

PECOS Enrollment

Based on the most recent information from CMS, provider Cynthia Whisenant is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1487971206
Provider Type
Individual
Full Name
Whisenant, Cynthia
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
5/4/2010
Last Updated
3/7/2023

Contact Information

Practice Location

1915 White Ave, Knoxville, TN 37916-2300

(865) 331-1720

Unlisted Fax

Mailing Location

1915 White Ave, Knoxville, TN 37916-2300

(865) 331-1720

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APN0000014851 Tennessee

Provider Identifiers

ID	Description	Issuer
ID 1523480	Description Medicaid	Issuer Unlisted Tennessee

Cynthia Whisenant

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Pickel, Kimberly Jo

Langstone, Katy

Dantzler, Katelyn Elizabeth

Wall, Rachal

Brumbach, Jennifer L

Loop, Amy

Heidel, Wendy D

Yopp, Lisa B.

Huang, Jiajia

O'Hare, Esther Marie