CAROLYN VICTORIA WHITEHEAD (NPI# 1871611285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871611285 |
| Entity Type | Individual |
| Full Name | CAROLYN VICTORIA WHITEHEAD |
| Other Name | CAROLYN VICTORIA HINES |
| Credential | PMHNP-BC |
| Practice Address |
255 E Watt St Alcoa TN 37701-2236 |
| Mailing Address |
6350 W Andrew Johnson Hwy Department 100 Talbott TN 37877-8605 |
| Practice Telephone | 8652731616 |
| Practice Fax Number | 8652731645 |
| Mailing Telephone | 8003553565 |
| Mailing Fax Number | 4237142355 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 163W00000X | Registered Nurse | RN171356 | TN | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APN22413 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
255 E WATT ST |
| City | ALCOA |
| State | TN |
| Zip Code | 37701-2236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278847 | William Berez | Psychologist | 255 E Watt St, Alcoa, TN 37701-2236 | 2005-07-12 |
| 1023619574 | Christina Leigh Conley | Nurse's Aide | 255 E Watt St, Alcoa, TN 37701-2236 | 2020-11-02 |
| 1437762655 | Jessica Ruth King | Registered Nurse | 255 E Watt St, Alcoa, TN 37701-2236 | 2020-08-27 |
| 1528671757 | Danielle Yvette Hines | Nurse's Aide | 255 E Watt St, Alcoa, TN 37701-2236 | 2020-08-27 |
| 1215547039 | Sonia Marisela Almanza Montiel | Nurse's Aide | 255 E Watt St, Alcoa, TN 37701-2236 | 2020-08-06 |
| 1215545983 | Haley Marie Ouellette | Counselor | 255 E Watt St, Alcoa, TN 37701-2236 | 2020-07-20 |
| 1902421944 | Tiffany Monique Gordon | Social Worker | 255 E Watt St, Alcoa, TN 37701-2236 | 2020-06-16 |
| 1255964144 | Alicia Renee Lemaster | Registered Nurse | 255 E Watt St, Alcoa, TN 37701-2236 | 2020-02-19 |
| 1992341440 | Tasia Valenza Mcnairy | Licensed Practical Nurse | 255 E Watt St, Alcoa, TN 37701-2236 | 2019-11-20 |
| 1720623374 | Kelley Suzanne Manning | Nurse's Aide | 255 E Watt St, Alcoa, TN 37701-2236 | 2019-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598070807 | Tennessee Vein Center, Pllc | Clinic/Center | 203 Corporate Place, Alcoa, TN 37701 | 2010-08-11 |
| 1790099638 | Bill Charles Barker | Pharmacist | 225 N. Hall Road, Walgreens, Alcoa, TN 37701 | 2010-08-03 |
| 1235365453 | Marsh Chiropractic & Wellness Center, LLC | Chiropractor | 1080 Hunters Crossing, Alcoa, TN 37701 | 2009-06-02 |
| 1457485187 | Romeo San Diego Gomez | Physical Therapist | 101 Gill Street, Alcoa, TN 37701 | 2007-03-15 |
| 1811039266 | Khaled Othman Abumayaleh | Optometrist | 1030 Hunters Crossing Lane, Alcoa, TN 37701 | 2007-02-13 |
| 1861558777 | Paula Kay Wolfe | Technician/Technologist | 237 N Calderwood St, Alcoa, TN 37701 | 2006-12-28 |
| 1194893883 | K Darrel Clagough | Dentist | 310 Sanderson Street, Alcoa, TN 37701 | 2006-12-01 |
| 1225106008 | David C Finch | Physical Therapist | 1107 N Hall Rd Ste 200, Alcoa, TN 37701 | 2006-12-01 |
| 1366517070 | Gabriel C Edaugal | Physical Therapist | 101 Gill St, Alcoa, TN 37701 | 2006-11-21 |
| 1386617462 | Alcoa Senior Center | Clinic/Center | 2445 Calderwood St., Suite C2, Alcoa, TN 37701 | 2006-02-09 |
| Find all providers in zip 37701 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023597945 | Katherine Elizabeth Whittington | Nurse Practitioner | 255 E Watt St, Alcoa, TN 37701-2236 | 2018-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972966 | Rebecca Singleton | Nurse Practitioner | 2601 N John B Dennis Hwy Apt 2318, Kingsport, TN 37660-0835 | 2020-11-03 |
| 1205434503 | Sonya Lavet Butler | Nurse Practitioner | 3413 Axelwood Dr, Murfreesboro, TN 37128-3984 | 2020-10-09 |
| 1417554361 | John Pearson Redmond | Nurse Practitioner | 1710 Ghost Creek Dr, Collierville, TN 38017-3425 | 2020-10-05 |
| 1861099061 | Justin Mccord | Nurse Practitioner | 454 Red Hill Center Rd, Lawrenceburg, TN 38464-6842 | 2020-10-01 |
| 1265049977 | Toya Owens | Nurse Practitioner | 2565 Mackinnon Dr, Memphis, TN 38119-7903 | 2020-09-26 |
| 1043827041 | Zamaria Davion Louise Gains | Nurse Practitioner | 7405 Shallowford Rd Ste 230, Chattanooga, TN 37421-7632 | 2020-09-24 |
| 1376158998 | Mary L Dean Turner | Nurse Practitioner | 6727 Stonetrace Dr, Bartlett, TN 38135-3054 | 2020-09-10 |
| 1205447794 | Sana Pathan | Nurse Practitioner | 829 S Sherbrooke Cir, Mount Carmel, TN 37645-4019 | 2020-08-10 |
| 1093325557 | Highland Behavioral Healthcare | Nurse Practitioner | 29 Taylor Ave Ste 204, Crossville, TN 38555-4537 | 2020-08-08 |
| 1225648009 | Angela R Davenport | Nurse Practitioner | 7110 Crossroads Blvd, Brentwood, TN 37027-2826 | 2020-08-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.