WHITE SPIRIT LODGE INC. (NPI# 1457515371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457515371 |
| Entity Type | Organization |
| Organization Name | WHITE SPIRIT LODGE INC. |
| Practice Address |
146 Maryville Pike Sutie 101 Knoxville TN 37920-4185 |
| Practice Telephone | 8655770530 |
| Practice Fax Number | 8655770430 |
| Mailing Telephone | 8655770530 |
| Mailing Fax Number | 8655770430 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |
| Authorized Official Name | MARK MICHAEL MCCARTER (MANAGER) |
| Authorized Official Telephone | 8655770530 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
605 | TN | Ambulatory Health Care Facilities |
| Street Address |
146 MARYVILLE PIKE SUTIE 101 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-4185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
| Find all providers in zip 37920 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629597653 | Recovery Strategies LLC | Clinic/Center | 120 Center Park Dr Ste 9, Knoxville, TN 37922-2117 | 2017-09-11 |
| 1063013357 | Workforce Recovery | Clinic/Center | 9135 Middlebrook Pike, Knoxville, TN 37923-1425 | 2020-11-04 |
| 1639618838 | Recovery Healthcare Partners LLC | Clinic/Center | 9051 Executive Park Dr, 100, Knoxville, TN 37923-4606 | 2017-02-21 |
| 1891246658 | Wellness Ambulatory Care Inc. | Clinic/Center | 6624 Central Avenue Pike, Suite 101, Knoxville, TN 37912-1400 | 2016-10-17 |
| 1144613787 | Renaissance Recovery Center | Clinic/Center | 9051 Executive Park Dr, Suite 202, Knoxville, TN 37923-4606 | 2015-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850708 | Crossroads Treatment Centers of Tennessee, PC | Clinic/Center | 114 Perkins Ln, Jacksboro, TN 37757-2833 | 2020-07-31 |
| 1477161982 | Addiction Behavioral Care | Clinic/Center | 2617 Grandview Ave Ste 103, Nashville, TN 37211-2263 | 2020-07-21 |
| 1841808342 | Nashville Addiction Clinic | Clinic/Center | 5515 Edmondson Pike Ste 118, Nashville, TN 37211-5871 | 2020-07-21 |
| 1043828668 | Chattanooga Recovery Center LLC | Clinic/Center | 13 W Kent St Ste 201, Chattanooga, TN 37405-9913 | 2020-07-20 |
| 1588296131 | Integrative Health Centers LLC | Clinic/Center | 1105 16th Ave S Ste C, Nashville, TN 37212-2327 | 2020-02-11 |
| 1912465121 | Applegate Health Services of Tennessee, Inc | Clinic/Center | 446 Metroplex Dr Ste 200a, Nashville, TN 37211-3139 | 2019-03-06 |
| 1295204022 | Harpeth Recovery Clinic | Clinic/Center | 3011 Harrah Dr Ste T, Spring Hill, TN 37174-6254 | 2018-11-22 |
| 1861984353 | The Transition House of Tennessee, Inc. | Clinic/Center | 1024 E Mlk, Chattanooga, TN 37403-2710 | 2018-05-31 |
| 1265923775 | Wake Up Well Recovery LLC | Clinic/Center | 211 Donelson Pike Ste 108, Nashville, TN 37214-2929 | 2018-05-21 |
| 1275049215 | Holston Health Associates, Pllc | Clinic/Center | 249 E Main St Ste A, Johnson City, TN 37604-5707 | 2017-12-27 |
| Find all providers with the same taxonomy | ||||
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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.