Carolyn Wertel

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

87301 Issued in TN

Practice address

307 Devonia St
Harriman, TN 37748-2008

Phone

(865) 882-1164

NPI assigned

Oct 23, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Ridgeview Psychiatric Hospital and Center, Inc.

  • Psychiatric Hospital
  • Oak Ridge, TN
  • NPI 1184659229
  NPD (past)

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1447893417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W TYRONE RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306517",
            "telephone_number": "865-482-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 DEVONIA ST",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377482008",
            "telephone_number": "865-882-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTEL",
        "first_name": "CAROLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "87301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Walker, DMD
• Richard Anthony Wallace, CRNA
• Amanda Walls
• David Andrew Weadon, PT
• Kimberly Webb, FNP
• Megan Ashley White, FNP-C
• Bennie W Whitehead, MD
• Sydney Michelle Wilbert, OTR/L
• Donna Renee Williams, RN
• Robert Joseph Wilson, M.D.

• Licensed Practical Nurse in Harriman, TN
• Providers in Harriman, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.