MRS. JENNIFER LYNN WHITAKER (NPI# 1265732721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265732721 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER LYNN WHITAKER |
| Credential | PMHNP-BC |
| Practice Address |
1211 Porter Wagoner Blvd # 23 West Plains MO 65775-1826 |
| Mailing Address |
Po Box 1100 West Plains MO 65775-1100 |
| Practice Telephone | 4172576762 |
| Practice Fax Number | 4172575875 |
| Mailing Telephone | (417) 257-6036 |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2010031570 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1265732721 | 05 | |
| MO | 207101758 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 E 19th St, Mountain Grove, MO 657111114 | 4179266563 | 4179265820 |
| 1100 Kentucky Avenue, West Plains, MO 65775 | 4172569111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801167366 | Jennifer Shane Whitaker | Doula | 9515 Southern Cross Ln, Burke, VA 22015-4520 | 2012-01-15 |
| 1184763823 | Jennifer Colleen Whitaker | Occupational Therapist | 11800 West Thompson Ranch, El Mirage, AZ 85335 | 2007-02-06 |
| 1114973088 | Jennifer Lynn Whitaker | Occupational Therapist | 14318 Denby Ter, Midlothian, VA 23114-4320 | 2006-05-25 |
| 1376142349 | Jennifer Turner Whitaker | Pharmacist | 2034 S Highway 53, La Grange, KY 40031-9535 | 2020-10-21 |
| 1780923664 | Jennifer Ann Whitaker | Physical Therapy Assistant | 1800 N Wabash Rd, Marion, IN 46952-1300 | 2013-02-12 |
| 1871720607 | Jennifer Whitaker | Speech-Language Pathologist | 340 Getwell St, Marks, MS 38646-9785 | 2009-06-19 |
| 1316124746 | Jennifer Anne Whitaker | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2008-01-29 |
| Street Address |
1211 PORTER WAGONER BLVD # 23 |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316998115 | Alan B Korbett | Psychiatry & Neurology | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2006-05-15 |
| 1861053332 | Tianna Niesen | Social Worker | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2019-06-25 |
| 1205325461 | William Patrick Miller | Social Worker | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2018-05-03 |
| 1013427020 | Alisha Lynn Gates | Counselor | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2017-10-04 |
| 1932638954 | Rochelle R Smith | Counselor | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2017-06-05 |
| 1417406588 | Lora Lucille Hand | Social Worker | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2016-09-29 |
| 1699220756 | Jenee Lieurance | Nurse Practitioner | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2016-08-18 |
| 1619321643 | Ozarks Medical Center | Psychiatry & Neurology | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2016-04-15 |
| 1427474733 | Yang Lu | Social Worker | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2014-03-11 |
| 1275898165 | Dominica D Kiefer | Counselor | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2012-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699220756 | Jenee Lieurance | Nurse Practitioner | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2016-08-18 |
| 1770836694 | Margaret Elisabeth Deshane | Nurse Practitioner | 909 N Kentucky Ave, West Plains, MO 65775-2024 | 2012-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1376152546 | Chijioke Francisca Mbah | Nurse Practitioner | 900 Sw 33rd St, Lees Summit, MO 64082-4191 | 2020-07-23 |
| 1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
| 1639796766 | Courtney Paige Schult | Nurse Practitioner | 431 Stonewater Dr, Pevely, MO 63070-3210 | 2020-07-06 |
| 1912524059 | Farah Lynn Shaddix | Nurse Practitioner | 1103 Warm Winds Dr, O Fallon, MO 63366-6327 | 2020-07-05 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1215551973 | Nicole Lynn Parker | Nurse Practitioner | 1000 Jackson St Apt 1, Saint Charles, MO 63301-2676 | 2020-05-28 |
| 1386273217 | Andrea Morrow Wright | Nurse Practitioner | 8833 N Congress Ave Apt 813, Kansas City, MO 64153-1991 | 2020-04-03 |
| 1700413580 | Solange-belle Boma | Nurse Practitioner | 6326 Ne 44th St, Kansas City, MO 64117-1687 | 2020-03-24 |
| 1063044626 | Beatriz Fortaleza | Nurse Practitioner | 2305 South 65 Highway, Bldg A., Marshall, MO 65340-3702 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
Please comment or provide details below to improve the information on MRS. JENNIFER LYNN WHITAKER.
| 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.