Active NPI
Bethany White III, AGNP-C
- Adult Health Nurse Practitioner
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 21750
- Practice address
- 1128 E Weisgarber Rd
Suite 100
Knoxville, TN 37909-2674 - Phone
- (865) 579-0552
- Fax
- (865) 579-1154
- NPI assigned
- Oct 3, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 21750 | TN | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 21750 | TN |
Addresses
Primary practice location
1128 E Weisgarber Rd
Suite 100
Knoxville, TN 37909-2674
Mailing address
1128 E Weisgarber Rd
Suite 100
Knoxville, TN 37909-2674
Phone (865) 579-0552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, IN, WI, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1121 E Lasalle Ave
South Bend, IN 46617-3321
Phone (574) 475-7157
17475 Dugdale Dr
South Bend, IN 46635-1545
Phone (574) 247-7500
502 Roseport Rd
Elwood, KS 66024-7801
Phone (913) 348-4453
7970 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-6100
801 Braxton PL
Madison, WI 53715-1415
Phone (414) 242-5468
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.23 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 82.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21750 | TN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Consultants of East Tennessee, PLLC | Current | Accepting new patients | |
| Informe Healthcare in, LLC | Current | Accepting new patients | |
| Informe Healthcare Il LLC | Current | Accepting new patients | |
| Informe Healthcare Specialists, LLC | Current | Accepting new patients | |
| Informe Healthcare TN, LLC | Current | Accepting new patients | |
| Behavioral Medicine Institute PC | Past | Accepting new patients |
Locations
7970 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2607
745 N Swope St
Greenfield, IN 46140
Phone (317) 462-9221
8800 Virginia Pl
Merrillville, IN 46410
Phone (219) 736-1310
17475 Dugdale Dr
South Bend, IN 46635
Phone (574) 247-7500
1121 E Lasalle Ave
South Bend, IN 46617
Phone (574) 287-6501
709 Walnut St
Chattanooga, TN 37402
Phone (423) 266-7721
1250 Tennova Medical Way
Knoxville, TN 37909
Phone (800) 324-4777
220 Fort Sanders West Blvd
Ste 308
Knoxville, TN 37922
Phone (865) 579-0552
1540 Member Ln
Ste 100
Knoxville, TN 37909
Phone (865) 579-0552
1128 E Weisgarber Rd
Ste 100
Knoxville, TN 37909
Phone (865) 251-5215
1444 Old Weisgarber Rd
Knoxville, TN 37909
Phone (865) 500-6665
575 Oak Ridge Tpke
Ste 110
Oak Ridge, TN 37830
Phone (865) 579-0552
6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300
801 Braxton Pl
Madison, WI 53715
Phone (608) 251-1010
2741 W Layton Ave
Ste 106
Milwaukee, WI 53221
Organizations & group practices 7
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.
-
- Pain Medicine (Anesthesiology) Physician
- Knoxville, TN
- NPI 1609890383
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1275003295
-
- Clinical Psychologist
- Knoxville, TN
- NPI 1073674552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475452800000",
"number": "1306395264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1128 E WEISGARBER RD",
"address_2": "SUITE 100",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092674",
"telephone_number": "865-579-0552",
"fax_number": "865-579-1154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 E WEISGARBER RD",
"address_2": "SUITE 100",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092674",
"telephone_number": "865-579-0552",
"fax_number": "865-579-1154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "BETHANY",
"name_suffix": "III",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-03",
"last_updated": "2016-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TN",
"license": "21750",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TN",
"license": "21750",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.