Whiteville Family Medical Clinic, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WHITEVILLE FAMILY MEDICAL CLINIC, LLC

Practice address

2060 US Highway 64
Suite C
Whiteville, TN 38075-7476

Phone

(731) 254-8999

Fax

(731) 254-8997

NPI assigned

Feb 8, 2010

Last updated

Feb 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dee Blakney, DNP

Title

Owner

Phone

(731) 254-8999

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Laurie Lynette Lehuanani Bagwell, FNP-BC

  • Family Nurse Practitioner
  • Lakeland, TN
  • NPI 1760652127
  NPD (past)
• Sue A Piller, ANP-BC

  • Adult Health Nurse Practitioner
  • Bartlett, TN
  • NPI 1083882591
  NPD (past)

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1821320466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 US HIGHWAY 64",
            "address_2": "SUITE C",
            "city": "WHITEVILLE",
            "state": "TN",
            "postal_code": "380757476",
            "telephone_number": "731-254-8999",
            "fax_number": "731-254-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 US HIGHWAY 64",
            "address_2": "SUITE C",
            "city": "WHITEVILLE",
            "state": "TN",
            "postal_code": "380757476",
            "telephone_number": "731-254-8999",
            "fax_number": "731-254-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEVILLE FAMILY MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "BLAKNEY",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-254-8999",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lake
• George Mark Mangle, D.O., D.P.M.
• Tasma Graham Robertson, DNP. NP-C, PMHNP-BC
• Tarita Gifted Handz
• Wee Care ABA
• Whiteville Medical Center LLC
• Whiteville Medical Clinic, LLC

• Family Nurse Practitioner in Whiteville, TN
• Providers in Whiteville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.