Organization Active NPI

Whitehaven Pediatrics Inc.

  • Legal Medicine
  • Memphis, TN
National Provider Identifier
1548301682
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
WHITEHAVEN PEDIATRICS INC.
Practice address
4299 Elvis Presley Blvd
Memphis, TN 38116-6435
Phone
(901) 398-7518
Fax
(901) 398-3128
NPI assigned
Feb 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carlos SpraglingNPI 1376684407
Title
Management
Phone
(901) 396-7518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X TN Primary

Addresses

Primary practice location

4299 Elvis Presley Blvd
Memphis, TN 38116-6435

Mailing address

4299 Elvis Presley Blvd
Memphis, TN 38116-6435
Phone (901) 398-7518

National Provider Directory

National Provider Directory

Locations

4299 Elvis Presley Blvd
Memphis, TN 38116
Phone (901) 332-5873

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548301682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4299 ELVIS PRESLEY BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166435",
            "telephone_number": "901-398-7518",
            "fax_number": "901-398-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4299 ELVIS PRESLEY BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166435",
            "telephone_number": "901-398-7518",
            "fax_number": "901-398-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHAVEN PEDIATRICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPRAGLING",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "901-396-7518"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.