Individual provider Active NPI

Whitney Rodriguez, FNP-BC

  • Family Nurse Practitioner
  • Hermitage, TN
National Provider Identifier
1861883779
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19662 Issued in TN
Practice address
5544 Old Hickory Blvd
Hermitage, TN 37076-2576
Phone
(615) 515-0029
NPI assigned
Feb 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3016035 KY
Family Nurse Practitioner 363LF0000X 19662 TN Primary

Addresses

Primary practice location

5544 Old Hickory Blvd
Hermitage, TN 37076-2576

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

Other practice location 1

2945 Scottsville Rd
Bowling Green, KY 42104-6331
Phone (270) 783-3992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150504001007 TN Practitioner - Nurse Practitioner 5092034603 Reassigns benefits to 1 organization
I20221219000513 VA Practitioner - Nurse Practitioner 5092034603 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3016035KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Specialty Group PLLC CurrentSince Dec 1, 2022 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Jul 2, 2017 Accepting new patients

Locations

5544 Old Hickory Blvd
Hermitage, TN 37076
Phone (615) 515-0029

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

500 Discovery Dr
Chesapeake, VA 23320
Phone (757) 668-2311

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

301 Riverview Ave
Norfolk, VA 23510
Phone (757) 668-7713

5834 Harbour View Blvd
Suffolk, VA 23435
Phone (757) 668-4570

1924 Landstown Centre Way
Virginia Beach, VA 23456
Phone (757) 668-4673

4505 Columbus St
Ste 250
Virginia Beach, VA 23462
Phone (757) 499-7442

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.

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1861883779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5544 OLD HICKORY BLVD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762576",
            "telephone_number": "615-515-0029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2945 Scottsville Rd",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421046331",
            "country_code": "US",
            "telephone_number": "270-783-3992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "WHITNEY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016035",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.