Whitney Shea Blankenship, NP-C
Individual provider Active NPI Family Nurse Practitioner · McMinnville, TN
NPI 1992045249 · NPPES record last updated Nov 14, 2013
Key facts
- NPI
- 1992045249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F0113231 (TN)
- Practice address
- 231 Northgate Dr Ste 102
McMinnville, TN 37110-1436 - Phone
- (931) 474-4700
- Fax
- (931) 474-4701
- NPI assigned
- Feb 24, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Care Wellness LLC
Family Care Clinic LLC
Practice addresses (Care Compare)
207 Oak Park
McMinnville, TN 37110-1336
Phone (931) 474-4000
306 N Chancery St
McMinnville, TN 37110-2048
Phone (931) 474-4700
Hospital & facility affiliations
- Saint Thomas River Park Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Family Care Wellness LLC |
Rural health clinic | 5% Or Greater Direct Ownership Interest (50%) W-2 Managing Employee (100%) |
Dec 23, 2024 May 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130513000411 | TN | Practitioner - Nurse Practitioner | 4981841830 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0113231 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Wellness LLC | Family | Current |
Accepting new patients |
| Family Care Clinic LLC | Family | Current |
Accepting new patients |
| Blankenship Medical Group PLLC | Past | Accepting new patients |
Locations
207 Oak Park
McMinnville, TN 37110
Phone (931) 474-4000
231 Northgate Dr
Ste 102
McMinnville, TN 37110
Phone (931) 474-4700
306 N Chancery St
McMinnville, TN 37110
Phone (931) 474-4700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F0113231 | TN | Yes |
Addresses
Primary practice location
231 Northgate Dr Ste 102
McMinnville, TN 37110-1436
Mailing address
52 Travis TRL
McMinnville, TN 37110-3671
Other providers in McMinnville, TN
- Amanda Robin Bell
- Melissa Dawn Benson
- Graylin Clare Benusches
- John T Beuerlein
- Michelle Black
- Blessed Beyond Home Care
- Blooming Minds Counseling LLC
- Bluff Springs Manor LLC
- Abbey Bond
- Angela Bond
All providers in McMinnville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.