MARY TERESA BOUTHNER CCMA
NPI 1093604522
Nurse's Aide in Chattanooga, TN

Q: What is Mary Bouthner's NPI number?

The NPI number for Mary Bouthner is 1093604522. It was assigned to this individual provider in the NPPES registry on June 30, 2025. The provider is also known as Mary Teresa Vestal.

Q: What is Mary Bouthner's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Bouthner was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 30, 2025

5600 BRAINERD RD STE A4, CHATTANOOGA, TN 37411(423) 266-4588(865) 342-0103 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Teresa Bouthner Ccma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY TERESA BOUTHNER CCMA (NPI 1093604522) is an individual nurse's aide in Chattanooga, Tennessee and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1093604522

Entity TypeIndividualFemale

Primary Taxonomy376K00000X

Provider Legal NameMARY TERESA BOUTHNERCredential: CCMA

Location Address5600 BRAINERD RD STE A4Chattanooga, TN 37411-5336

Mailing Address1923 Sulphur Springs RdMorristown, TN 37813-5654 · (423) 317-9344 · Fax (423) 714-2355

Phone(423) 266-4588

Fax(865) 342-0103

Sole ProprietorNo

Enumeration DateJune 30, 2025

NPPES CertifiedJune 30, 2025

✔ NPI 1093604522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse's AideNursing Service Related Providers

Taxonomy Code376K00000X

Definition

(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.

5600 BRAINERD RD STE A4, Chattanooga, TN 37411

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Other Names 1

Former Name (1)Mary Teresa Vestal

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIKA NATISSE CURRIE CCMA

Nurse's Aide