DR. ELICIA NICHOLE WHITE (NPI# 1699158543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699158543 |
Entity Type | Individual |
Full Name | DR. ELICIA NICHOLE WHITE |
Credential | PHARMD |
Practice Address |
2204 Pavilion Drive Kingsport TN 37660 |
Practice Telephone | 4232241245 |
Practice Fax Number | 4232243901 |
Mailing Telephone | 4232241245 |
Mailing Fax Number | 4232243901 |
Enumeration Date | 2015-07-09 |
Last Update Date | 2018-01-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | 0202214055 | VA | Pharmacy Service Providers |
Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
40317 | TN | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 1699158543 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881060978 | Elicia White | Behavioral Analyst | 900 Karen Ave, Suite B203, Las Vegas, NV 89109-1264 | 2015-08-12 |
Street Address |
2204 PAVILION DRIVE |
City | KINGSPORT |
State | TN |
Zip Code | 37660 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053404574 | Kingsport Ambulatory Surgery Ctr | Clinic/Center | 2204 Pavilion Drive, Suite 300, Kingsport, TN 37660-4653 | 2006-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
Find all providers in zip 37660 |
Taxonomy Code | 1835P2201X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Ambulatory Care |
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356955561 | Joshua Hodge | Pharmacist | 1215 21st Aveneue South Suite 1006, Nashville, TN 37232-0001 | 2020-09-04 |
1467063099 | Sarah Darby | Pharmacist | 8920 Executive Park Dr Ste 100, Knoxville, TN 37923-4714 | 2020-08-17 |
1871140541 | Julia Percy | Pharmacist | 1005 Hunts Ln, Hendersonville, TN 37075-9742 | 2019-08-19 |
1003387077 | Manali Chetankumar Patel | Pharmacist | 3328 Lakewood Dr Nw, Cleveland, TN 37312-2099 | 2018-12-16 |
1851869531 | Jonathan Cobb | Pharmacist | 5410 Illinois Ave, Nashville, TN 37209-2115 | 2018-11-11 |
1588172100 | Wesley Drennon Bradford | Pharmacist | 979 E 3rd St Ste B-601, Chattanooga, TN 37403-2136 | 2018-01-17 |
1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
1972059764 | Ahmed Atyia | Pharmacist | 2811 W. Market St, Johnson City, TN 37604 | 2016-08-31 |
1619581881 | Mackenzie Gustafson | Pharmacist | 2500 Gallatin Ave, Nashville, TN 37206-3216 | 2020-09-03 |
1548873060 | David Quenten Brannon II | Pharmacist | 2471 Jackson Ave, Memphis, TN 38108-3318 | 2020-08-25 |
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.