Active NPI
Shauna Marie Whited, PT
- Physical Therapist
- Signal Mountain, TN
National Provider Identifier
1902122765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6493
- Practice address
- 2100 Oak St
Signal Mountain, TN 37377-1349 - Phone
- (423) 605-0597
- NPI assigned
- Apr 19, 2010
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6493 | TN | Primary |
Addresses
Primary practice location
2100 Oak St
Signal Mountain, TN 37377-1349
Mailing address
2100 Oak St
Signal Mountain, TN 37377-1349
Phone (423) 605-0597
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6493 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271635200000",
"number": "1902122765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 OAK ST",
"city": "SIGNAL MOUNTAIN",
"state": "TN",
"postal_code": "373771349",
"telephone_number": "423-605-0597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 OAK ST",
"city": "SIGNAL MOUNTAIN",
"state": "TN",
"postal_code": "373771349",
"telephone_number": "423-605-0597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITED",
"first_name": "SHAUNA",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-19",
"last_updated": "2010-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "6493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Signal Mountain, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.