Individual provider Active NPI

Chelsey Lynn White, RN, CLC

  • Diabetes Educator Registered Nurse
  • Carthage, TN
National Provider Identifier
1093586711
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
RN0000172235 Issued in TN
Practice address
158 Hospital Dr
Carthage, TN 37030-1083
Phone
(615) 735-1560
Fax
(615) 735-5323
NPI assigned
Jan 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X RN0000172235 TN Primary

Addresses

Primary practice location

158 Hospital Dr
Carthage, TN 37030-1083

Mailing address

214 Wilburn Hollow Rd
Riddleton, TN 37151-2205
Phone (615) 489-5412

Other practice location 1

214 Wilburn Hollow Rd
Riddleton, TN 37151-2205

Other practice location 2

158 Hospital Dr
Carthage, TN 37030-1083
Phone (615) 735-1560 ext. 1320

Other practice location 3

158 Hospital Dr
Carthage, TN 37030-1083

Other practice location 4

214 Wilburn Hollow Rd
Riddleton, TN 37151-2205

Other practice location 5

214 Wilburn Hollow Rd
Riddleton, TN 37151-2205

Other practice location 6

214 Wilburn Hollow Rd
Riddleton, TN 37151

Other practice location 7

158 Hospital Drive
Carthage, TN 37030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN0000172235TNMDDiabetes Educator Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1093586711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 WILBURN HOLLOW RD",
            "city": "RIDDLETON",
            "state": "TN",
            "postal_code": "371512205",
            "telephone_number": "615-489-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 HOSPITAL DR",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370301083",
            "telephone_number": "615-735-1560",
            "fax_number": "615-735-5323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Wilburn Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Riddleton",
            "state": "TN",
            "postal_code": "371512205",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "158 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "TN",
            "postal_code": "370301083",
            "country_code": "US",
            "telephone_number": "615-735-1560 x1320",
            "fax_number": "615-735-5323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "158 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "TN",
            "postal_code": "370301083",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Wilburn Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Riddleton",
            "state": "TN",
            "postal_code": "371512205",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Wilburn Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Riddleton",
            "state": "TN",
            "postal_code": "371512205",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Wilburn Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Riddleton",
            "state": "TN",
            "postal_code": "37151",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "158 Hospital Drive",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "TN",
            "postal_code": "37030",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CHELSEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "TN",
            "license": "RN0000172235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.