MS. KATHLEEN M WHITAKER (NPI# 1780838557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780838557 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN M WHITAKER |
| Credential | CNS |
| Practice Address |
209 W North St Lebanon IN 46052 |
| Mailing Address |
209 W. North St Lebanon IN 46052 |
| Practice Telephone | 7654812015 |
| Practice Fax Number | 7654812270 |
| Mailing Telephone | 7654812015 |
| Mailing Fax Number | 7654812270 |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2015-04-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
28056006A | IN | Nursing Service Providers |
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
28056006A | IN | Nursing Service Providers |
| N | 364S00000X | Clinical Nurse Specialist | 70000213 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
70000213 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200983160 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508041955 | Kathleen Whitaker | Occupational Therapist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2008-01-04 |
| Street Address |
209 W NORTH ST |
| City | LEBANON |
| State | IN |
| Zip Code | 46052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316567647 | Meredith England Labrie | Behavioral Analyst | 110 Birchwood Drivve, Lebanon, IN 46052 | 2020-04-16 |
| 1710401492 | Kenzlie Ann Westerfield | Specialist/Technologist | 613 Countryside Drive, Lebanon, IN 46052 | 2017-08-03 |
| 1487040044 | Jenny L Essex | Social Worker | 1614 N. Lebanon St., Integrative Wellness, LLC, Lebanon, IN 46052 | 2015-04-10 |
| 1316177363 | Kathryn Elizabeth Ehrgott | Counselor | 1005 South Lebanon Street, Boone County Services, Lebanon, IN 46052 | 2009-07-23 |
| 1851551998 | James R Mcafee | General Practice | 1997 Terrace Ln, Lebanon, IN 46052 | 2008-06-12 |
| 1518021773 | Zulfiqar Ali Mirza | Internal Medicine | 2505 N Lebanon St Ste 220, Lebanon, IN 46052 | 2006-12-21 |
| 1316016108 | Russell Allen Lindner | Chiropractor | 3920 North State Road 39, Boone County Chiropractic Office, Lebanon, IN 46052 | 2006-11-07 |
| 1487755781 | Cowan Drugs Inc | Pharmacy | 112 N Lebanon St, Lebanon, IN 46052 | 2006-09-26 |
| 1558463992 | Cowan Drugs Inc | Pharmacy | 1639 N Lebanon St, Lebanon, IN 46052 | 2006-09-05 |
| 1992291306 | Shalin Zia | Optometrist | 2705 N Lebanon St, Lebanon, IN 46052 | 2018-07-09 |
| Find all providers in zip 46052 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568834836 | Erin C Mills | Registered Nurse | 975 Kingsview Dr, Bldg A, Lebanon, OH 45036-9562 | 2015-10-27 |
| 1124496641 | Tyra A Mann | Registered Nurse | 975 Kingsview Dr, Bldg B, Lebanon, OH 45036-9562 | 2015-09-15 |
| 1245632579 | Heather M Harrall | Registered Nurse | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2014-09-18 |
| 1003247941 | Ruby Combs | Registered Nurse | 65 Old Springfield Rd, Lebanon, KY 40033-9185 | 2013-12-03 |
| 1386919033 | Tammy Rose Turner | Registered Nurse | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2012-03-14 |
| 1477848794 | Emily L Serger | Registered Nurse | 975 Fujitec Dr, Lebanon, OH 45036-8336 | 2011-06-15 |
| 1932419603 | Heather Lynn Vrabel | Registered Nurse | 204 Cook Road, Lebanon, OH 45036 | 2010-10-15 |
| 1679760532 | Judith Grace Mills | Registered Nurse | 2003 East Main Street, Lebanon, VA 24266 | 2007-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447886957 | Jessica Lynn Walsh | Registered Nurse | 4910 Oakbrook Ct, Indianapolis, IN 46254-1116 | 2020-03-16 |
| 1194361352 | Cassandra Jo Lind | Registered Nurse | 2521 Cardinal Dr, Pittsboro, IN 46167-9559 | 2019-11-22 |
| 1831506922 | Kimberli Galloway | Registered Nurse | 127 Winding Creek Ct, Fishers, IN 46038-1075 | 2014-07-21 |
| 1245470830 | Judith Scharnak | Registered Nurse | 6655 East Us 36, Avon, IN 46123 | 2009-02-23 |
| 1841467859 | Dana L Porter Brown | Registered Nurse | 1 N Barker Ave, Evansville, IN 47712-5601 | 2008-05-09 |
| 1528170842 | Caroline Virginia Voors | Registered Nurse | 1615 Vance Ave, Lmvfm, Fort Wayne, IN 46805 | 2006-08-31 |
| 1083648083 | Susan Jeanine Slone | Registered Nurse | 258 Meadow Dr, Danville, IN 46122 | 2006-07-10 |
| 1306897913 | Kathy Santon | Registered Nurse | 192 N State Road 267, Suite 300, Avon, IN 46123-9513 | 2006-05-16 |
| 1316910367 | Thelma Lynn Young-bolden | Registered Nurse | 4323 E 3rd St, Bloomington, IN 47401-5551 | 2006-02-09 |
| 1043818396 | Jessica Lynn Handy | Registered Nurse | 2525 W University Ave, Muncie, IN 47303-3421 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. KATHLEEN M 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.