Betty Gwen Carlton, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN5668 Issued in TN

Practice address

1350 Mackey Branch Dr Ste 114
Chattanooga, TN 37421-3483

Phone

(423) 468-3267

Fax

(423) 468-3270

NPI assigned

Feb 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gwenc@direct.covenantallergy.com

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.

• PSF PLLC

  • Allergy & Immunology Physician
  • Louisville, KY
  • NPI 1881785947
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1922074178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 MACKEY BRANCH DR STE 114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213483",
            "telephone_number": "423-468-3267",
            "fax_number": "423-468-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 MACKEY BRANCH DR STE 114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213483",
            "telephone_number": "423-468-3267",
            "fax_number": "423-468-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLTON",
        "first_name": "BETTY",
        "middle_name": "GWEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN5668",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN55779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa G Carkner, M.D.
• Amanda Carleo, PA-C
• Andrew Carlone, MD
• Anna Rose Poole Carlson, M.D.
• Carlton M. Vollberg, D.O.P.C
• Kimberly Carlton, M.D.
• Lisa Carmack, M.A.
• Taylor Shaye Carmody
• Brittany Carmon, PMHNP
• Carol L Gruver MD PC

• Family Nurse Practitioner in Chattanooga, TN
• Providers in Chattanooga, 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 Dec 18, 2009; 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.