Active NPI
Jennifer Leigh White, CRNP
- Pediatric Nurse Practitioner
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 13667
- Practice address
- 1718 Saint Mary St Ste a
Knoxville, TN 37917-4518 - Phone
- (865) 540-4288
- Fax
- (865) 637-6983
- NPI assigned
- Dec 2, 2008
- Last updated
- Nov 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 13667 | TN | Primary |
| Pediatrics Physician | 208000000X | APN0000013667 | TN |
Addresses
Primary practice location
1718 Saint Mary St Ste a
Knoxville, TN 37917-4518
Mailing address
1718 Saint Mary St Ste a
Knoxville, TN 37917-4518
Phone (865) 540-4288
Other practice location 1
11146 Parkside Dr
Knoxville, TN 37934-1960
Phone (865) 364-1067
Other names 1
- Jennifer Leig Damewood
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000013667 | TN | MD | Pediatrics Physician |
| 13667 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care for Children, PLLC | Pediatrics | Current | Accepting new patients |
| Children's Urgent Care, LLC | Pediatrics | Past | Accepting new patients |
| East Tennessee Neonatal Associates, P.C. | Past | Accepting new patients |
Locations
500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273
5215 Highway 153
Ste 105
Hixson, TN 37343
Phone (423) 664-1151
11146 Parkside Dr
Knoxville, TN 37934
Phone (865) 246-2830
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Hixson, TN
- NPI 1205434420
-
- Neonatal-Perinatal Medicine Physician
- Knoxville, TN
- NPI 1346274420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669161600000",
"number": "1851536015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 SAINT MARY ST STE A",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379174518",
"telephone_number": "865-540-4288",
"fax_number": "865-637-6983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 SAINT MARY ST STE A",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379174518",
"telephone_number": "865-540-4288",
"fax_number": "865-637-6983"
}
],
"practiceLocations": [
{
"address_1": "11146 Parkside Dr",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379341960",
"country_code": "US",
"telephone_number": "865-364-1067",
"fax_number": "865-364-1068",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "JENNIFER",
"middle_name": "LEIGH",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-02",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TN",
"license": "13667",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "APN0000013667",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "DAMEWOOD",
"middle_name": "LEIG",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.