Danielle Whitehurst, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

59682 Issued in TN

Practice address

11100 Highway 64
Bolivar, TN 38008-1554

Phone

(731) 228-2000

Fax

(731) 202-9026

NPI assigned

Jun 12, 2015

Last updated

Jan 15, 2020By 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 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• State of Tennessee-Western Mental Health Institute

  • Psychiatric Hospital
  • Bolivar, TN
  • NPI 1538114020
  Medicare reassignment NPD

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1295116531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 LEVY LN",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081562",
            "telephone_number": "410-366-0726",
            "fax_number": "731-202-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 HIGHWAY 64",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081554",
            "telephone_number": "731-228-2000",
            "fax_number": "731-202-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHURST",
        "first_name": "DANIELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "59682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia N Warren
• Kelvin Washington
• Broderick Webster Sr., LPC
• Lance Austin Wheeler, PT
• Catherine Ann White, LSW
• Darshanula Wilkes
• Bruce Wilks, LADAC
• Emylee Ann Williams, OTR/L
• Kayla Williams, APRN, DNP, PMHNP-BC
• Elizabeth Ashley Willis, PHARMD

• Psychiatry Physician in Bolivar, TN
• Providers in Bolivar, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.