Individual provider Active NPI

Janet Susanne White, FNP

  • Family Nurse Practitioner
  • Cordova, TN
National Provider Identifier
1144087693
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
35713 Issued in TN
Practice address
765 Woodland Trace LN
Cordova, TN 38018-6609
Phone
(901) 497-7950
NPI assigned
Mar 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 35713 TN Primary

Addresses

Primary practice location

765 Woodland Trace LN
Cordova, TN 38018-6609

Mailing address

765 Woodland Trace LN
Cordova, TN 38018-6609
Phone (901) 497-7950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240308000453 TN Practitioner - Nurse Practitioner 0749626109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Segue Health Partners LLCGroup PAC ID 5496020521, 29 clinicians

Practice addresses (Care Compare)

765 Woodland Trace LN
Cordova, TN 38018-6609
Phone (901) 626-3515

Hospital & facility affiliations

  • Baptist Trinity Homecare & Hospice Home health agency, Cordova, TN, CCN 447407
  • Where the Heart Is Inc Home health agency, Eads, TN, CCN 447577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35713TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Segue Health Partners LLC CurrentSince Mar 18, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1144087693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 WOODLAND TRACE LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186609",
            "telephone_number": "901-497-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 WOODLAND TRACE LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186609",
            "telephone_number": "901-497-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JANET",
        "middle_name": "SUSANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.