Individual provider Active NPI

Carol L. White, APRN, BC

  • Adult Health Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1558369116
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
08333 Issued in TN
Practice address
251 N Lyerly St
Suite 100
Chattanooga, TN 37404-2728
Phone
(423) 826-8000
Fax
(423) 826-8005
NPI assigned
Jul 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 08333 TN Primary

Addresses

Primary practice location

251 N Lyerly St
Suite 100
Chattanooga, TN 37404-2728

Mailing address

2300B E 3Rd St
Chattanooga, TN 37404-2734
Phone (423) 702-7900

Other identifiers 1

IdentifierTypeStateIssuer
3386460MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
08333TNMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1558369116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300B E 3RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042734",
            "telephone_number": "423-702-7900",
            "fax_number": "423-702-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N LYERLY ST",
            "address_2": "SUITE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042728",
            "telephone_number": "423-826-8000",
            "fax_number": "423-826-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CAROL",
        "middle_name": "L.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "08333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3386460",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.