Amy B White, APN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

33672 Issued in TN

Practice address

585 Interstate Dr Ste B
Manchester, TN 37355-3191

Phone

(931) 728-9000

Fax

(931) 728-2726

NPI assigned

Mar 20, 2023

Last updated

Mar 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

University of Alabama School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jay Michael Trussler DO PCGroup PAC ID 4880630375, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unity Medical Center Hospital, Manchester, TN, CCN 440007

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Jay Michael Trussler DO PC

  • Primary Care Clinic/Center
  • Manchester, TN
  • NPI 1164618229
  Medicare reassignment Care Compare group NPD

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

• Coffee Medical Group LLC

  dba Unity Medical Center

  • Rural Acute Care Hospital
  • Manchester, TN
  • NPI 1013969179
  Care Compare affiliation

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1235831553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 INTERSTATE DR STE B",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553191",
            "telephone_number": "931-728-9000",
            "fax_number": "931-728-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 INTERSTATE DR STE B",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553191",
            "telephone_number": "931-728-9000",
            "fax_number": "931-728-2726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "847 W Main St",
            "address_purpose": "LOCATION",
            "city": "Monteagle",
            "state": "TN",
            "postal_code": "373567028",
            "country_code": "US",
            "telephone_number": "931-924-7000",
            "fax_number": "931-728-2726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "AMY",
        "middle_name": "B",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "33672",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TN",
            "license": "176345",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "33672",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Rite Aid #11901)
• Joanna Leigh Walker, B.S., PHARM D
• Macie Gray Walker, PHARMD
• Michelle Taylor Watts, PA
• Katherine Corrin Webb
• Whole Family Clinic, PLLC
• Willow Medical Clinic, LLC
• Willow Medical, LLC
• Willow Pediatric Clinic, LLC
• Sarah Schwartz Wilson, M.D.

• Primary Care Nurse Practitioner in Manchester, TN
• Providers in Manchester, TN by specialty
• Primary Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.