Individual provider Active NPI

Sheila Thornton Whitman, FNP

  • Family Nurse Practitioner
  • Mooresville, NC
National Provider Identifier
1205301512
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
199380 Issued in NC
Practice address
128 E Plaza Dr Ste 3
Mooresville, NC 28115-8000
Phone
(704) 378-8478
NPI assigned
Oct 12, 2018
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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 199380 NC Primary

Addresses

Primary practice location

128 E Plaza Dr Ste 3
Mooresville, NC 28115-8000

Mailing address

329 Woodrow Ave
High Point, NC 27262-3263
Phone (336) 689-1133

Other practice location 1

3803 N Elm St
Greensboro, NC 27455-2593
Phone (855) 247-8474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190822000583 NC Practitioner - Nurse Practitioner 5294063723 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Priority Care PLLC CurrentSince Jun 8, 2019 Accepting new patients

Locations

8001 Marketplace Dr
Ste A
Oak Ridge, NC 27310
Phone (336) 392-1915

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1205301512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 WOODROW AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623263",
            "telephone_number": "336-689-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E PLAZA DR STE 3",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281158000",
            "telephone_number": "704-378-8478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3803 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274552593",
            "country_code": "US",
            "telephone_number": "855-247-8474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "SHEILA",
        "middle_name": "THORNTON",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "199380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.