Andrea Leigh Whitcomb, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

17079 Issued in TN

Practice address

1503 S Main St
Crossville, TN 38555-5967

Phone

(931) 484-6196

NPI assigned

Oct 30, 2012

Last updated

Apr 13, 2023By 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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premise Health of Tennessee Medical PC

  dba CoLinx - Crossville

  • Multi-Specialty Clinic/Center
  • Crossville, TN
  • NPI 1376116715
  NPD (past)
• State of Tennessee

  dba Cumberland County Health Department

  • Federally Qualified Health Center (FQHC)
  • Crossville, TN
  • NPI 1487705414
  NPD (past)

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1346594298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 MUTTS RD",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385723236",
            "telephone_number": "931-510-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 S MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555967",
            "telephone_number": "931-484-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITCOMB",
        "first_name": "ANDREA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myhaliah Watson, FNP-C
• Christopher Majer Wattenbarger
• WCS Professional Services, LLC
• Teresa Lynne Webb, RN
• Dale Alan Wheeler, D. D. S., M.S.
• Nicole Whittenburg, D.PH.
• Gary Allan Wikert, M.D.
• William E Smith Obstetrics & Gynecology
• David Lloyd Williams, OTR/L, CHT
• Jenna Marie Williams

• Family Nurse Practitioner in Crossville, TN
• Providers in Crossville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.