Individual provider Active NPI

Whitley R Wright, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bristol, TN
National Provider Identifier
1396471223
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
31967 Issued in TN
Practice address
1389 Volunteer Pkwy
Bristol, TN 37620-5709
Phone
(423) 444-0848
Fax
(423) 523-0848
NPI assigned
Jul 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 31967 TN Primary

Addresses

Primary practice location

1389 Volunteer Pkwy
Bristol, TN 37620-5709

Mailing address

1389 Volunteer Pkwy
Bristol, TN 37620-5709
Phone (423) 444-0848

Other identifiers 2

IdentifierTypeStateIssuer
Q076559MedicaidTN
1396471223MedicaidVA

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
I20220811002270 TN Practitioner - Nurse Practitioner 6709269533 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurobloom Psychiatry, PLLCGroup PAC ID 5799287041, 2 clinicians

Practice addresses (Care Compare)

1389 Volunteer Pkwy
Bristol, TN 37620-5709
Phone (423) 444-0848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee State University CurrentSince Jul 1, 2022 Accepting new patients
East Tennessee State University CurrentSince Jul 1, 2022 Accepting new patients
Neurobloom Psychiatry, PLLC Psychiatric/Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Open Minds Psychiatric and Mental Psychiatric/Mental Health CurrentSince Apr 13, 2023 Accepting new patients

Locations

1389 Volunteer Pkwy
Bristol, TN 37620
Phone (423) 444-0848

1241 Volunteer Pkwy
Ste 110
Bristol, TN 37620
Phone (423) 530-3703

1241 Volunteer Pkwy
Bristol, TN 37620
Phone (423) 530-3703

308 8th St
#B
Bristol, TN 37620
Phone (423) 530-3703

2151 Century Ln
Johnson City, TN 37604
Phone (423) 439-4071

2700 Main St
Sneedville, TN 37869
Phone (423) 733-2819

Organizations & group practices 4

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": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1396471223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 VOLUNTEER PKWY",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376205709",
            "telephone_number": "423-444-0848",
            "fax_number": "423-523-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 VOLUNTEER PKWY",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376205709",
            "telephone_number": "423-444-0848",
            "fax_number": "423-523-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "WHITLEY",
        "middle_name": "R",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "31967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q076559",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396471223",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.