Emily Teresa Whiting, R.N.
Individual provider Active NPI Registered Nurse · Homerville, GA
NPI 1336304500 · NPPES record last updated Jul 27, 2008
Key facts
- NPI
- 1336304500
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN087196 (GA)
- Practice address
- 1058 Tomlinson Rd
Homerville, GA 31634-7121 - Phone
- (315) 529-6533
- NPI assigned
- Jul 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN087196 | GA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN087196 | GA | Yes |
Addresses
Primary practice location
1058 Tomlinson Rd
Homerville, GA 31634-7121
Mailing address
1058 Tomlinson Rd
Homerville, GA 31634-7121
Phone (315) 529-6533
NPI Registry JSON
{
"created_epoch": "1217116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217116800000",
"number": "1336304500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1058 TOMLINSON RD",
"city": "HOMERVILLE",
"state": "GA",
"postal_code": "316347121",
"telephone_number": "315-529-6533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1058 TOMLINSON RD",
"city": "HOMERVILLE",
"state": "GA",
"postal_code": "316347121",
"telephone_number": "315-529-6533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITING",
"first_name": "EMILY",
"middle_name": "TERESA",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-27",
"last_updated": "2008-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN087196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homerville, GA
- Suwannee River Medical
- Benjamin Franklin Tanner II
- Thrive Medical Care, LLC
- Unison Behavioral Health
- Walgreen Co
- Ramey Callahan Youngblood
All providers in Homerville, GA · Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.