Active NPI
Cheryl Lynne White, FNP
- Family Nurse Practitioner
- Memphis, TN
National Provider Identifier
1760480040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 810080
- Practice address
- 3477 Dawnridge Dr
Memphis, TN 38118-8136 - Phone
- (901) 281-9036
- Fax
- (901) 367-9038
- NPI assigned
- Jul 12, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 810080 | TN | Primary |
Addresses
Primary practice location
3477 Dawnridge Dr
Memphis, TN 38118-8136
Mailing address
3477 Dawnridge Dr
Memphis, TN 38118-8136
Phone (901) 376-9038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5440927 | Medicaid | TN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 810080 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Choices of TN | Past | Accepting new patients | |
| Health Care Clinic of Tennessee, LLC | Past | Accepting new patients | |
| Americare Home Health Agency, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Home Health Agency
- Memphis, TN
- NPI 1962427815
-
- Clinic/Center
- Memphis, TN
- NPI 1770649667
-
- Nurse Practitioner
- Memphis, TN
- NPI 1316096720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199404800000",
"number": "1760480040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3477 DAWNRIDGE DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381188136",
"telephone_number": "901-376-9038",
"fax_number": "901-367-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3477 DAWNRIDGE DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381188136",
"telephone_number": "901-281-9036",
"fax_number": "901-367-9038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "CHERYL",
"middle_name": "LYNNE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2008-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "810080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5440927",
"state": "TN"
}
],
"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 Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.