OrganizationActive
Abode Care Partners Al Vb, LLC
NPI 1518736834 · Nurse Practitioner · Mountain City, TN
Provider details
- NPI number
- 1518736834
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Angie Mattingly, Manager-Provider Enrollment(502) 394-2100
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
919 Medical Park Dr
Mountain City, TN 37683-1042
Phone: (800) 807-6555
Fax: (855) 316-2999
Street-level locationGet directions
Mailing address
805 N Whittington Pkwy
Louisville, KY 40222-7101
Registry dates
- Enumerated
- 2023-12-28
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.