Whitney Michelle Poole, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5012403 Issued in NC

Practice address

2616 E 5TH St
Charlotte, NC 28204-4343

Phone

(336) 628-2812

NPI assigned

Oct 8, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

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 and National Provider Directory roles.

• Longevity Accountable Care, PA

  • Geriatric Medicine (Family Medicine) Physician
  • Salisbury, NC
  • NPI 1396584454
  Medicare reassignment NPD
• Longevity Clinical LTC Associates of North Carolina PLLC

  • Primary Care Nurse Practitioner
  • Salisbury, NC
  • NPI 1154907855
  Medicare reassignment

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1518509801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 JOE FARLOW RD",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272051200",
            "telephone_number": "336-628-2812",
            "fax_number": "336-799-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 E 5TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044343",
            "telephone_number": "336-628-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "WHITNEY",
        "middle_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912199415",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Ponds, LCSW
• Jennilyn Pont Briant, RDN
• Anna Elizabeth Poole, M.S.
• Charlene Poole
• Priscilla Haug Poole, PA-C
• Lili Jo Poon, DO
• Eric D Poore, PHARM. D
• Abigail Pope, LMFTA, MMT, MT-BC
• Anna Davis Pope, SLP
• Christina Berkau Pope, M.S. CCC-SLP

• Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.