Individual provider Active NPI

Brooklyn Whitson, FNP-C

  • Nurse Practitioner
  • Erwin, TN
National Provider Identifier
1629741434
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
29913 Issued in TN
Practice address
500 Love St
Erwin, TN 37650-1734
Phone
(423) 735-4160
NPI assigned
Jul 28, 2021
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 29913 TN Primary

Addresses

Primary practice location

500 Love St
Erwin, TN 37650-1734

Mailing address

500 Love St
Erwin, TN 37650-1734
Phone (423) 735-4160

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210913002238 TN Practitioner - Nurse Practitioner 3173929387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Tennessee Medical Associates, P.C.Group PAC ID 2062460009, 7 clinicians

Practice addresses (Care Compare)

107 Woodlawn Dr
Suite 200
Johnson City, TN 37604-6287
Phone 4239297158305

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.22 of 100Reported as group
Quality
60.13
Promoting interoperability
100
Improvement activities
40
Cost
83.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29913TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Medical Associates, P.C. Nephrology CurrentSince Sep 1, 2021 Accepting new patients
Unaka Internal Medicine, LLC CurrentSince Nov 24, 2025 Accepting new patients

Locations

500 Love St
Erwin, TN 37650
Phone (423) 735-4160

107 Woodlawn Dr
Ste 200
Johnson City, TN 37604
Phone (423) 929-7158

Interoperability endpoints

  • Direct secure messaging: brice33502@direct.acumenmd.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1629741434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LOVE ST",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501734",
            "telephone_number": "423-735-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LOVE ST",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501734",
            "telephone_number": "423-735-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITSON",
        "first_name": "BROOKLYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "29913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erwin, TN

Sources for this page

Verify at the official NPI Registry.