Individual provider Active NPI

Elizabeth J White, FNP-C

  • Family Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1891019055
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14867 Issued in TN
Practice address
340 N Cedar Ave
Cookeville, TN 38501-2421
Phone
(931) 783-5582
NPI assigned
Mar 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14867 TN Primary

Addresses

Primary practice location

340 N Cedar Ave
Cookeville, TN 38501-2421

Mailing address

140 W 7TH St
Cookeville, TN 38501-1726
Phone (931) 783-5582

Other practice location 1

455 N Chancery St
McMinnville, TN 37110-2049
Phone (931) 474-8888

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181218001031 TN Practitioner - Nurse Practitioner 9638089303 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14867TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 23, 2024 Accepting new patients
Center Hill Medical, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Advanced Care Internal Medicine PLLC CurrentSince Nov 1, 2018 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 23, 2024 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Aug 31, 2023 Accepting new patients
Cookeville Regional Medical Group, Inc CurrentSince Mar 26, 2022 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Aug 31, 2023 Accepting new patients

Locations

100 W 4th St
Ste 350
Cookeville, TN 38501
Phone (931) 646-2901

140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582

340 N Cedar Ave
Cookeville, TN 38501
Phone (931) 528-6496

455 N Chancery St
McMinnville, TN 37110
Phone (931) 474-1440

455 N Chancery St
Ste A
McMinnville, TN 37110
Phone (931) 474-8890

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

516 W Main St
Ste C
Smithville, TN 37166
Phone (615) 597-4049

150 Sam Walton Dr
Sparta, TN 38583
Phone (931) 332-0961

1802 N Jackson St
Ste 850
Tullahoma, TN 37388
Phone (931) 563-5501

Interoperability endpoints

  • Direct secure messaging: elizabeth.white@237407481626628.direct.elationemr.com
  • FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1891019055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 7TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011726",
            "telephone_number": "931-783-5582",
            "fax_number": "931-526-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N CEDAR AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012421",
            "telephone_number": "931-783-5582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 N Chancery St",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "TN",
            "postal_code": "371102049",
            "country_code": "US",
            "telephone_number": "931-474-8888",
            "fax_number": "931-474-8889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.