MS. KATHLEEN DIANE WHITNEY (NPI# 1104126150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104126150 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN DIANE WHITNEY |
| Credential | APN |
| Practice Address |
6640 Congo Rd Benton AR 72019-6913 |
| Practice Telephone | 5017944110 |
| Practice Fax Number | 5013169360 |
| Mailing Telephone | 5017944110 |
| Mailing Fax Number | 5013169360 |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A03385 APN | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437587649 | Kathleen Quigley Whitney | Physician Assistant | 746 Jefferson Ave, Regional Hosp of Scranton Er, Scranton, PA 18510-1624 | 2013-10-25 |
| 1770609778 | Kathleen M Whitney | Pharmacist | 777 Rogers St, Lowell, MA 01852-4336 | 2007-03-21 |
| 1821178328 | Kathleen D Whitney | Pathology | Mmc - Dept. of Pathology, 1825 Eastchester Road, Bronx, NY 10461 | 2006-10-17 |
| Street Address |
6640 CONGO RD |
| City | BENTON |
| State | AR |
| Zip Code | 72019-6913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578591129 | Salem Family Practice Clinic,pa | Clinic/Center | 6640 Congo Rd, Benton, AR 72019-6913 | 2006-06-30 |
| 1316416779 | Kelly Leigh Bassett | Family Medicine | 6640 Congo Rd, Benton, AR 72019-6913 | 2018-11-15 |
| 1508216300 | Dawn Leah Lindsey | Nurse Practitioner | 6640 Congo Rd, Benton, AR 72019-6913 | 2016-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898293 | Arkansas Heart Hospital LLC | General Acute Care Hospital | 1901 Encore Way, Bryant, AR 72019 | 2020-10-16 |
| 1306485545 | Ryan Adams | Pharmacist | 20820 I-30 North, Benton, AR 72019 | 2020-01-06 |
| 1649819962 | Josh Landrum | Pharmacist | 20820 I 30 N, Benton, AR 72019 | 2020-01-03 |
| 1710525720 | Melanie Mabry | Nurse Practitioner | 11510 State Highway 298, Benton, AR 72019 | 2019-12-20 |
| 1578086864 | Ronald Winkler | Occupational Therapy Assistant | 2907 Hurricane Lake Rd, Bryant, AR 72019 | 2017-07-19 |
| 1801243357 | Richard Andrew Dwiggins | Social Worker | 1718 Old Hot Springs Highway, Benton, AR 72019 | 2016-05-14 |
| 1184008377 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 2080 I-30 North, Benton, AR 72019 | 2015-07-17 |
| 1689910051 | Rachel Cloud | Physical Therapist | 2010 Activeway, Benton, AR 72019 | 2012-12-12 |
| 1538444583 | Stacy Ann Harris | Specialist | 403 Demuth Lane, Benton, AR 72019 | 2011-10-20 |
| 1144528423 | Robert Mark Robinson | Licensed Practical Nurse | 5 Hickory Ridge Drive, Benton, AR 72019 | 2011-03-10 |
| Find all providers in zip 72019 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710525720 | Melanie Mabry | Nurse Practitioner | 11510 State Highway 298, Benton, AR 72019 | 2019-12-20 |
| 1538625900 | Morgan Dyanne Colson | Nurse Practitioner | 1576 Brookshire Dr, Benton, AR 72019-9547 | 2019-02-11 |
| 1639648041 | Laurie Jeannette Kerschner | Nurse Practitioner | 166 Wellivers Hill Rd, Benton, PA 17814-8131 | 2018-11-14 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1982171484 | Reanna Christine Hargrove | Nurse Practitioner | 2314 Olive Creek Rd, Benton, KY 42025-4208 | 2018-11-01 |
| 1710474093 | Carmacare Inc | Nurse Practitioner | 2408 Military Rd, Benton, AR 72015-2743 | 2018-04-23 |
| 1366950693 | Blake Borders | Nurse Practitioner | 222 Bland St, Benton, MO 63736-9206 | 2018-01-22 |
| 1063920452 | Pamela Ann Bates | Nurse Practitioner | 824 Military Rd, Benton, AR 72015-3347 | 2018-01-19 |
| 1023525490 | Kortney Kai Spann | Nurse Practitioner | 4110 Darla Dr, Benton, AR 72015-6299 | 2018-01-05 |
| 1548791510 | Monica Suzanne Williams | Nurse Practitioner | 10676 Hinds Rd, Benton, AR 72019-9442 | 2017-03-22 |
| Find all providers in BENTON | ||||
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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.