Active NPI
Rosalie S Whitaker, NP
- Family Nurse Practitioner
- Ringgold, GA
National Provider Identifier
1215907498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 37952
- Practice address
- 4083 Cloud Springs Rd
Ringgold, GA 30736-8411 - Phone
- (706) 820-6087
- Fax
- (706) 956-8171
- NPI assigned
- Jan 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 37952 | TN | |
| Family Nurse Practitioner | 363LF0000X | 37952 | TN | Primary |
| Registered Nurse | 163W00000X | 119916 | GA | |
| Family Nurse Practitioner | 363LF0000X | 119916 | GA |
Addresses
Primary practice location
4083 Cloud Springs Rd
Ringgold, GA 30736-8411
Mailing address
4083 Cloud Springs Rd
Ringgold, GA 30736-8411
Phone (706) 820-6087
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119916 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Care System Inc. | Past | 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.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1215907498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4083 CLOUD SPRINGS RD",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307368411",
"telephone_number": "706-820-6087",
"fax_number": "706-956-8171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4083 CLOUD SPRINGS RD",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307368411",
"telephone_number": "706-820-6087",
"fax_number": "706-956-8171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "ROSALIE",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "37952",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "37952",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "119916",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "119916",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ringgold, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.