Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELIZABETH GAIL CICUTTO P.A.
NPI 1356307417
Physician Assistant - Medical in Cookeville, TN

Q: What is Elizabeth Cicutto's NPI number?

The NPI number for Elizabeth Cicutto is 1356307417. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Q: What is Elizabeth Cicutto's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Cicutto was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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 April 25, 2006

112 N WALNUT AVE, COOKEVILLE, TN 38501(931) 520-1414(931) 520-1246 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Elizabeth Gail Cicutto P.a. NPPES

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

ELIZABETH GAIL CICUTTO P.A. (NPI 1356307417) is an individual medical provider in Cookeville, Tennessee, licensed in Tennessee (1336) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1356307417

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameELIZABETH GAIL CICUTTOCredential: P.A.

Location Address112 N WALNUT AVECookeville, TN 38501-2554

Mailing AddressPo Box 1210Cookeville, TN 38503-1210 · (931) 520-1414 · Fax (931) 520-1246

Phone(931) 520-1414

Fax(931) 520-1246

Sole ProprietorNo

Enumeration DateApril 25, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1356307417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TN · 1336

112 N WALNUT AVE, Cookeville, TN 38501

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Other Providers at the Same Location NPPES 4

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

HIGHLANDS DERMATOLOGY AND SURGICAL ASSOCIATES

Specialist

112 N WALNUT AVE
COOKEVILLE, TN 38501

Putnam County (931) 520-1414

RICHARD S. HALL, M.D.

Specialist

112 N WALNUT AVE
COOKEVILLE, TN 38501

Putnam County (931) 520-1414

DR. RICHARD HAROLD GENTRY M.D.

Dermatology

112 N WALNUT AVE
COOKEVILLE, TN 38501

Putnam County (931) 520-1414

DR. RICHARD SCOTT HALL M.D.

Dermatology (MOHS-Micrographic Surgery)

112 N WALNUT AVE
COOKEVILLE, TN 38501

Putnam County (931) 520-1414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Cicutto's NPI number?

The NPI number for Elizabeth Cicutto is 1356307417. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Elizabeth Cicutto located?

Elizabeth Cicutto practices at 112 N Walnut Ave, Cookeville, TN 38501. The listed phone number is (931) 520-1414.

What is Elizabeth Cicutto's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Elizabeth Cicutto was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.