White House Family Practice LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN6776 Issued in TN

Legal business name

WHITE HOUSE FAMILY PRACTICE LLC

Practice address

2823 Highway 31 W
Suite 200
White House, TN 37188-5241

Phone

(615) 672-0604

Fax

(615) 672-0646

NPI assigned

Jun 18, 2007

Organization subpart

No

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

Authorized official

Name

Miss Carol L Medley, NP

Title

Owner Nurse Practitioner

Phone

(615) 672-0604

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chris Allen Banning, D.C.

  • Chiropractor
  • White House, TN
  • NPI 1679589105
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225233463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 HIGHWAY 31 W",
            "address_2": "SUITE 200",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "371885241",
            "telephone_number": "615-672-0604",
            "fax_number": "615-672-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 HIGHWAY 31 W",
            "address_2": "SUITE 200",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "371885241",
            "telephone_number": "615-672-0604",
            "fax_number": "615-672-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE HOUSE FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDLEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER NURSE PRACTITIONER",
        "authorized_official_telephone_number": "615-672-0604",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN6776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639104268",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci H Wayman, PHARM.D.
• Mary Kathryn Welch, CCC SLP
• White House Chiropractic, LLC.
• White House Dental Associates PC
• White House Dental, PLLC
• White House Health Care Inc
• White House Health Care, Inc.
• White House Pain Institute LLC
• White House Pharmacy
• Ryan Wiesemann, DMD, MS

• Family Nurse Practitioner in White House, TN
• Providers in White House, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.