Individual provider Active NPI

Caroline Hendrick White

  • Nurse Practitioner
  • Lebanon, TN
National Provider Identifier
1942903885
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
33663 Issued in TN
Practice address
706 Cadet CT
Lebanon, TN 37087-2649
Phone
(615) 449-2472
NPI assigned
Mar 22, 2023
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 33663 TN Primary

Addresses

Primary practice location

706 Cadet CT
Lebanon, TN 37087-2649

Mailing address

820 Horn Springs Rd
Lebanon, TN 37087-1912

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
I20230530000896 TN Practitioner - Nurse Practitioner 4082071550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert J JantzGroup PAC ID 4688614803, 3 clinicians

Practice addresses (Care Compare)

706 Cadet CT
Lebanon, TN 37087-2649
Phone (615) 449-2472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
33663TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J Jantz CurrentSince Aug 24, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 24, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 24, 2023 Accepting new patients

Locations

1128 N Castle Heights Ave
Lebanon, TN 37087
Phone (423) 352-4381

706 Cadet Ct
Lebanon, TN 37087
Phone (615) 206-9111

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

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1942903885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 HORN SPRINGS RD",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 CADET CT",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872649",
            "telephone_number": "615-449-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CAROLINE",
        "middle_name": "HENDRICK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "33663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.