Provider Demographics
NPI:1235785916
Name:MCCARTER, CADY (FNP-C)
Entity Type:Individual
Prefix:
First Name:CADY
Middle Name:
Last Name:MCCARTER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 FORT SANDERS WEST BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3358
Mailing Address - Country:US
Mailing Address - Phone:865-531-5350
Mailing Address - Fax:
Practice Address - Street 1:200 FORT SANDERS WEST BLVD STE 102
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3358
Practice Address - Country:US
Practice Address - Phone:865-531-5350
Practice Address - Fax:865-374-2125
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-17
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNF05190878363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ071145Medicaid