Carolyn Victoria Whitehead, PMHNP-BC is a
Nurse Practitioner - Psychiatric/mental Health based in Alcoa, Tennessee. Carolyn Victoria Whitehead is licensed to practice in Tennessee (license number APN22413) and her current practice location is
255 E Watt St, Alcoa, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(865) 273-1616.
NPI number for Carolyn Victoria Whitehead is 1871611285 and her current mailing address is 6350 W Andrew Johnson Hwy, Department 100, Talbott, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871611285.
Healthcare Provider's Profile
| Full Name | Carolyn Victoria Whitehead |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
|---|
| Location | 255 E Watt St, Alcoa, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1871611285
- Provider Enumeration Date: 03/26/2007
- Last Update Date: 09/29/2020
Medical Identifiers
Medical identifiers for Carolyn Victoria Whitehead such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871611285 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 163W00000X | Registered Nurse | RN171356 (Tennessee) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APN22413 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carolyn Victoria Whitehead is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Carolyn Victoria Whitehead, PMHNP-BC
6350 W Andrew Johnson Hwy, Department 100,
Talbott, TN 37877-8605
Ph: (800) 355-3565 | Carolyn Victoria Whitehead, PMHNP-BC
255 E Watt St,
Alcoa, TN 37701-2236
Ph: (865) 273-1616 |
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