Organization Active NPI

Derm Direct PLLC

  • Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1336063221
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
DERM DIRECT PLLC
Practice address
1114 Prospect CT
Columbia, TN 38401-3399
Phone
(423) 377-9849
NPI assigned
Aug 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Sheena Whitaker, NP
Title
Owner
Phone
(423) 377-9849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1114 Prospect CT
Columbia, TN 38401-3399

Mailing address

1114 Prospect CT
Columbia, TN 38401-3399
Phone (423) 377-9849

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1336063221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 PROSPECT CT",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013399",
            "telephone_number": "423-377-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 PROSPECT CT",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013399",
            "telephone_number": "423-377-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERM DIRECT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-377-9849",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.