MRS. CONNIE S WHITESELL (NPI# 1427042548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427042548 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE S WHITESELL |
| Credential | NP |
| Practice Address |
320 N Oak Ave Cookeville TN 38501-2440 |
| Practice Telephone | 9315285547 |
| Practice Fax Number | 9315262699 |
| Mailing Telephone | 9315285547 |
| Mailing Fax Number | 9315262699 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APN6705 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHEILD | 4006810 | 01 |
| TN | 3378641 | 05 |
| Street Address |
320 N OAK AVE |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518950260 | Charles T Womack IIi | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2005-08-29 |
| 1063877678 | Ashley L Mcmillan | Registered Nurse | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2015-12-24 |
| 1992026868 | Kelly Lynne Mcalvany | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2010-06-15 |
| 1831331321 | Sara Catherine Wells | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2009-03-30 |
| 1083885644 | Quinton Victor Cancel | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2008-03-21 |
| 1578670477 | Ricky Allen Smith | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2006-08-24 |
| 1023078649 | Upper Cumberland Urology Associates PC | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2006-03-27 |
| 1740273408 | Stephen V Goryl | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2005-08-29 |
| 1508859166 | Lee S Moore | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063964799 | Bunker Hill Staffing LLC | Nurse Practitioner | 1300 Bunker Hill Rd Ste A, Cookeville, TN 38506 | 2016-10-28 |
| 1154310902 | Molly Anne Moore-pullin | Nurse Practitioner | 620 S Jefferson Ave, Ste 202, Cookeville, TN 38501-4035 | 2005-10-14 |
| 1588045132 | Jasmine Marie Olive | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501 | 2015-06-09 |
| 1043652738 | Angeli B Swallows | Nurse Practitioner | 228 W 4th St, Suite 301, Cookeville, TN 38501-2488 | 2013-07-23 |
| 1790098416 | Infinity Family Practice Associates, LLC | Nurse Practitioner | 1080 Neal St, Suite 103, Cookeville, TN 38501-0942 | 2010-07-22 |
| 1740489400 | Premier Medical Inc | Nurse Practitioner | 350 S Lowe Ave, Suite A, Cookeville, TN 38501-4727 | 2007-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757960 | Stephanie Cook | Nurse Practitioner | 8532 Wood Mills Dr W, Cordova, TN 38016-6169 | 2020-10-16 |
| 1245838713 | Rachel Goddard Claiborne | Nurse Practitioner | 7705 Poplar Ridge Dr, Nashville, TN 37221-2326 | 2020-10-15 |
| 1992303457 | Winnie Warun Kiri | Nurse Practitioner | 4715 Bonny Oaks Dr Apt 308, Chattanooga, TN 37416-3825 | 2020-10-15 |
| 1841807625 | Emily Marie Leidig | Nurse Practitioner | 271 Medical Park Blvd Fl 1, Bristol, TN 37620-7455 | 2020-09-25 |
| 1144831397 | Dana Lynn Marchetti | Nurse Practitioner | 113 Meadowvue Dr, Hendersonville, TN 37075-4212 | 2020-08-12 |
| 1770115925 | Lorne Avery Schwartz | Nurse Practitioner | 5606b Pennsylvania Ave, Nashville, TN 37209-1439 | 2020-02-05 |
| 1477196004 | Brie Lajeret | Nurse Practitioner | 800 Weatherly Dr Ste 201b, Clarksville, TN 37043-8958 | 2019-10-27 |
| 1851946560 | Virginia Elise Schlitt | Nurse Practitioner | 514 Crystal Springs Cir, Johnson City, TN 37615-2359 | 2019-08-08 |
| 1265991871 | Jane Holt | Nurse Practitioner | 647 Dunlop Ln Ste 101, Clarksville, TN 37040-5165 | 2019-03-14 |
| 1902378581 | Revital Health and Wellness Clinics Pllc | Nurse Practitioner | 695 President Pl Ste 200, Smyrna, TN 37167-5681 | 2018-12-20 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on MRS. CONNIE S WHITESELL.
| 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.