Johnenne Evette Whitmore, DNSC, APRN, FNP, BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0000069180 Issued in TN

Practice address

11437 Milton Wilson Road
Arlington, TN 38002

Phone

(901) 745-7779

Fax

(901) 745-7347

NPI assigned

Nov 17, 2006

Last updated

May 17, 2012By 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

Specialty

Nurse Practitioner

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CH MSSP Services TN PLLCGroup PAC ID 0042603656, 48 clinicians

Curana Health of Tennessee LLCGroup PAC ID 7416261482, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Curana Health of Tennessee LLC

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1750761060
  Medicare reassignment Care Compare group NPD
• CH MSSP Services TN PLLC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1003575838
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1477627016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 LIDA LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380181021",
            "telephone_number": "901-745-7779",
            "fax_number": "901-745-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11437 MILTON WILSON ROAD",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "38002",
            "telephone_number": "901-745-7779",
            "fax_number": "901-745-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMORE",
        "first_name": "JOHNENNE",
        "middle_name": "EVETTE",
        "name_prefix": "Dr.",
        "credential": "DNSC, APRN, FNP, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000069180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Tennessee Community Homes
• West Tennessee Community Homes
• West Tennessee Community Homes
• West Tennessee Regional Office (Divison for Development and Intellectual Disabilities)
• West Tennessee Therapy Group, LLC
• Wild Root Direct Care LLC
• Lana Dawn Wilk, M.S.
• Amber McCaleb Williams
• Brandon Bernard Williams, LCSW
• Matthew Chase Williams, APRN

• Family Nurse Practitioner in Arlington, TN
• Providers in Arlington, 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 May 17, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.