Pamela S Whitworth, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

P0000001762 Issued in TN

Practice address

101 Westwood Dr
Knoxville, TN 37919-4155

Phone

(865) 207-4418

Fax

(865) 212-3703

NPI assigned

Jun 20, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336185479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WESTWOOD DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194155",
            "telephone_number": "865-207-4418",
            "fax_number": "865-212-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WESTWOOD DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194155",
            "telephone_number": "865-207-4418",
            "fax_number": "865-212-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITWORTH",
        "first_name": "PAMELA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "P0000001762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "3029841",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3688364",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Lou Whittenburg-Choate, R.N.
• Theresa Marie Whittler, D.O.
• Leigh Ann Frances Whitus
• Brynn T Whitworth, APN
• Felicia Yvonne Whitworth, RN
• Whole Soul Counseling, LLC
• Wholeness in Bloom, LLC
• Brittani Wicker
• Kenneth D. Wicker, M.D.
• Courtney Wicks-Pelfrey

• Psychologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.