Whitney Shea Blankenship, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F0113231 Issued in 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

Last updated

Nov 14, 2013By 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 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Care Wellness LLCGroup PAC ID 2365820586, 13 clinicians

Family Care Clinic LLCGroup PAC ID 8729225677, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Thomas River Park Hospital Hospital, McMinnville, TN, CCN 440151

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Family Care Wellness LLC

  • Rural Health Clinic/Center
  • McMinnville, TN
  • NPI 1588325310

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

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.

• Family Care Wellness LLC

  • Rural Health Clinic/Center
  • McMinnville, TN
  • NPI 1588325310

  Family

  Medicare reassignment Care Compare group NPD Authorized official
• Family Care Clinic LLC

  • Rural Health Clinic/Center
  • McMinnville, TN
  • NPI 1780924456

  Family

  Medicare reassignment Care Compare group NPD
• Blankenship Medical Group PLLC

  • Family Medicine Physician
  • McMinnville, TN
  • NPI 1104849116
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Thomas River Park Hospital, LLC

  dba Ascension Saint Thomas River Park

  • General Acute Care Hospital
  • McMinnville, TN
  • NPI 1518346469
  Care Compare affiliation
• Saint Thomas River Park Hospital, LLC

  dba Ascension Saint Thomas River Park

  • Ambulatory Surgical Clinic/Center
  • McMinnville, TN
  • NPI 1558742304

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1361664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1992045249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 TRAVIS TRL",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371103671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 NORTHGATE DR STE 102",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101436",
            "telephone_number": "931-474-4700",
            "fax_number": "931-474-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "WHITNEY",
        "middle_name": "SHEA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-24",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "F0113231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John T Beuerlein, MD
• Robert Kent Bewick, D.D.S.
• Michelle Black
• Blankenship Medical Group PLLC
• Brad E Blankenship, M.D.
• Blessed Beyond Home Care
• Blooming Minds Counseling LLC
• Bluff Springs Manor LLC
• Abbey Bond, PT, DPT
• Angela Bond

• Family Nurse Practitioner in McMinnville, TN
• Providers in McMinnville, 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 Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.