Individual provider Active NPI

Whitney Lachele Matthews, NP

  • Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1205149705
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
21087 Issued in TN
Practice address
851 S Willow Ave Ste 112
Cookeville, TN 38501-4222
Phone
(931) 854-9261
NPI assigned
Jul 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 21087 TN Primary

Addresses

Primary practice location

851 S Willow Ave Ste 112
Cookeville, TN 38501-4222

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

1547 Warrior Dr Ste A
Murfreesboro, TN 37128-0922
Phone (615) 941-8501

Other practice location 2

2222 State St Ste C
Nashville, TN 37203-1869
Phone (615) 941-8501

Other practice location 3

1642 Westgate Cir Ste 201
Brentwood, TN 37027-8587
Phone (615) 941-8501

Other practice location 4

776 Weatherly Dr Ste B
Clarksville, TN 37043-8922
Phone (615) 941-8501

Other practice location 5

40 W Caldwell St Ste 200
MT Juliet, TN 37122-3179
Phone (615) 941-8501

Other practice location 6

405 Steam Plant Rd Ste 200
Gallatin, TN 37066-3375
Phone (615) 941-8501

Other practice location 7

851 S Willow Ave Ste 112
Cookeville, TN 38501-4222
Phone (615) 941-8501

Other practice location 8

300 20th Ave N Ste 600
Nashville, TN 37203-2143
Phone (615) 941-8501

Other practice location 9

5801 Crossings Blvd
Antioch, TN 37013-3130
Phone (615) 941-8501

Other practice location 10

320 New Shackle Island Rd
Hendersonville, TN 37075-2312
Phone (615) 941-8501

Other identifiers 1

IdentifierTypeStateIssuer
Q020528MedicaidTN

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
I20160503002178 TN Practitioner - Nurse Practitioner 3274832860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

3443 Dickerson Pike
Suite 400
Nashville, TN 37207-2524
Phone (615) 612-2146

5801 Crossings Blvd
Antioch, TN 37013-3130
Phone (615) 941-8501

5811 Crossings Blvd
Antioch, TN 37013-3130
Phone (615) 941-8501

851 S Willow Ave
Suite 112
Cookeville, TN 38501-4222
Phone (615) 941-8501

Hospital & facility affiliations

  • Cumberland Medical Center Hospital, Crossville, TN, CCN 440009
  • Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC Nurse Practitioner CurrentSince Aug 1, 2019 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 17, 2016 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Aug 1, 2019 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 17, 2016 Accepting new patients

Locations

5801 Crossings Blvd
Antioch, TN 37013
Phone (615) 885-0909

1642 Westgate Cir
Ste 201
Brentwood, TN 37027

776 Weatherly Dr
Ste B
Clarksville, TN 37043
Phone (615) 941-8538

851 S Willow Ave
Ste 112
Cookeville, TN 38501
Phone (615) 941-8538

405 Steam Plant Rd
Ste 200
Gallatin, TN 37066
Phone (615) 445-3774

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

320 New Shackle Island Rd
Hendersonville, TN 37075

40 W Caldwell St
Ste 200
Mt Juliet, TN 37122
Phone (615) 553-5640

1547 Warrior Dr
Ste A
Murfreesboro, TN 37128
Phone (615) 941-8538

2222 State St
Ste C
Nashville, TN 37203
Phone (615) 329-0131

300 20th Ave N
Ste 600
Nashville, TN 37203
Phone (615) 284-2214

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: whitney.matthews@ahp.eclinicaldirectplus.com

Organizations & group practices 4

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": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1205149705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S WILLOW AVE STE 112",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014222",
            "telephone_number": "931-854-9261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1547 Warrior Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371280922",
            "country_code": "US",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 State St Ste C",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031869",
            "country_code": "US",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1642 Westgate Cir Ste 201",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370278587",
            "country_code": "US",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "776 Weatherly Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370438922",
            "country_code": "US",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 W Caldwell St Ste 200",
            "address_purpose": "LOCATION",
            "city": "MT Juliet",
            "state": "TN",
            "postal_code": "371223179",
            "country_code": "US",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Steam Plant Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "370663375",
            "country_code": "US",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 S Willow Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385014222",
            "country_code": "US",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 20th Ave N Ste 600",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032143",
            "country_code": "US",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5801 Crossings Blvd",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "TN",
            "postal_code": "370133130",
            "country_code": "US",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 New Shackle Island Rd",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370752312",
            "country_code": "US",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "WHITNEY",
        "middle_name": "LACHELE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "21087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q020528",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.