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

Last updated

Dec 18, 2009By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PSF PLLC

  dba Family Allergy & Asthma

  • 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.