ZACHARY CARL WHITENER (NPI# 1124688270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124688270 |
| Entity Type | Individual |
| Full Name | ZACHARY CARL WHITENER |
| Credential | NP-C |
| Practice Address |
504 Redmond Rd Nw Rome GA 30165-1416 |
| Mailing Address |
221 Technology Pkwy Nw Rome GA 30165-1369 |
| Practice Telephone | 7622353130 |
| Practice Fax Number | 7062902721 |
| Mailing Telephone | 7622351000 |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2020-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN231277 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
504 REDMOND RD NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689676041 | Karen Jean Roberts | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2005-08-15 |
| 1003426537 | Hilarie Hincy Rankin | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2020-08-10 |
| 1689299000 | Phebe Nicole Hagins Wright | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2020-06-11 |
| 1255805180 | Amanda Lynn Preteroti | Physician Assistant | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2019-01-14 |
| 1245700731 | Marenda Celie Russell | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2018-11-28 |
| 1952870164 | Redmond Specialty Services, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2018-11-16 |
| 1568958429 | Lori Ann Brady | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2018-07-03 |
| 1558869404 | Robbie Leah Skinner | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2018-01-25 |
| 1477928448 | Tosha Michelle White | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2015-12-02 |
| 1447647458 | Esther Wairimu Brown | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2015-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043649817 | Satoya Loreen Hartfield | Nurse Practitioner | 330 Turner Mccall Blvd Sw Ste 107, Rome, GA 30165-5631 | 2013-11-02 |
| 1871773911 | Liza B Meltzer | Nurse Practitioner | 199 Reynolds Bend Dr Se, Rome, GA 30161-2539 | 2007-11-06 |
| 1285747493 | Karen Jenell Craig | Nurse Practitioner | 304 Turner Mccall Blvd, The Breast Center, Rome, GA 30165-0233 | 2006-08-15 |
| 1396769048 | Judy Norman Wilburn | Nurse Practitioner | Rome Cboc of The Syracuse Va, 125 Brookley Ave., Rome, NY 13441 | 2006-07-26 |
| 1851312680 | Tammy Michelle Hairel | Nurse Practitioner | 85 John Maddox Drive Connector Nw, Rome, GA 30165-1233 | 2006-07-21 |
| 1962440461 | Laurie Ansley Gerhard | Nurse Practitioner | 28 John Davenport Dr Nw, Rome, GA 30165-2536 | 2006-06-04 |
| 1194703181 | Lisa Pinkard Acree | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2006-01-09 |
| 1235110263 | Lori Ponder | Nurse Practitioner | 15 Riverbend Dr Sw, Ste 100, Rome, GA 30161-6065 | 2005-11-08 |
| 1689676041 | Karen Jean Roberts | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2005-08-15 |
| 1922605401 | Lauryn Goss Vines | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2020-10-07 |
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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.