Joan W White, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

19382 Issued in TN

Practice address

807 Meadowlark LN
Goodlettsville, TN 37072-2307

Phone

(615) 859-6650

Fax

(615) 851-1983

NPI assigned

Sep 22, 2005

Last updated

Mar 14, 2011By 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 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Rivergate Pediatrics PC

  • Pediatrics Physician
  • Goodlettsville, TN
  • NPI 1366438640
  NPD (past)
• Vanderbilt University Medical Center

  dba Vanderbilt Medical Group

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1104202761

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1396731675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 MEADOWLARK LN",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722307",
            "telephone_number": "615-859-6650",
            "fax_number": "615-851-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 MEADOWLARK LN",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722307",
            "telephone_number": "615-859-6650",
            "fax_number": "615-851-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JOAN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "19382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "3036281",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David A. Weaver, D.M.D.
• Danielle Weisner, BCBA
• Sarah Elizabeth Wellman, PSYD
• David Ethan Wells, PMHNP-BC
• Bonnie White
• Nolan Ryan Willard
• Jeffrey Todd Williams, M.D.
• Joseph M Williams, PHARM.D.
• Leah G Williams
• Trelon Eugene Williams

• Pediatrics Physician in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.