Individual provider Active NPI

Bethany White

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1316594872
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26488 Issued in TN
Practice address
300 20TH Ave N Ste 301
Nashville, TN 37203-2173
Phone
(615) 284-2400
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 208423 TN
Family Nurse Practitioner 363LF0000X 26488 TN Primary

Addresses

Primary practice location

300 20TH Ave N Ste 301
Nashville, TN 37203-2173

Mailing address

300 20TH Ave N Ste 403
Nashville, TN 37203-5180
Phone (615) 284-4086

Other practice location 1

1911 State St
Nashville, TN 37203-2209
Phone (615) 284-2015

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200201000276 TN Practitioner - Nurse Practitioner 4981030426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
208423TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Edmondson Pike Family Practice and Walk in Clinic PastSince Nov 1, 2019 Accepting new patients
Freedomcare Physician Practice PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bethany.white.1@25577.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25577/brand/1/csg/1/fhir/r4
  • Direct secure messaging: bethanywhite@uroassoc.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1316594872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 403",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035180",
            "telephone_number": "615-284-4086",
            "fax_number": "615-284-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 301",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032173",
            "telephone_number": "615-284-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1911 State St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032209",
            "country_code": "US",
            "telephone_number": "615-284-2015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "BETHANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "208423",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.