Active NPI
John Jacob Whicker, RN
- Community Health Registered Nurse
- Gallatin, TN
National Provider Identifier
1750767042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN0000202225
- Practice address
- 1005 Union School Rd
Gallatin, TN 37066-2084 - Phone
- (615) 206-1120
- Fax
- (615) 206-9448
- NPI assigned
- Aug 10, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN0000202225 | TN | Primary |
Addresses
Primary practice location
1005 Union School Rd
Gallatin, TN 37066-2084
Mailing address
1005 Union School Rd
Gallatin, TN 37066-2084
Phone (615) 206-1120
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62-6001445TN0101 | Other | TN | AMERICHOICE |
| 3910472 | Other | TN | MEDICARE |
| 4447971 | Medicaid | TN | |
| 600000198 | Other | TN | RAILROAD |
| 155541 | Other | TN | BLUE CROSS BLUE SHIELD TENNESSEE |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000202225 | TN | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1750767042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 UNION SCHOOL RD",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370662084",
"telephone_number": "615-206-1120",
"fax_number": "615-206-9448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 UNION SCHOOL RD",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370662084",
"telephone_number": "615-206-1120",
"fax_number": "615-206-9448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHICKER",
"first_name": "JOHN",
"middle_name": "JACOB",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-10",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "TN",
"license": "RN0000202225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "62-6001445TN0101",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "3910472",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4447971",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "600000198",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TENNESSEE",
"identifier": "155541",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gallatin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.