MS. KATHLEEN M WHITAKER CNS NPI 1780838557

NPI Information

NPI: 1780838557
Provider Name: MS. KATHLEEN M WHITAKER, CNS
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
209 W NORTH ST
LEBANON, IN
ZIP 46052
Phone: (765) 481-2015
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MS. Kathleen M Whitaker, CNS is a psychiatric/mental health registered nurse in Lebanon, IN. MS. Kathleen M Whitaker, CNS NPI is 1780838557. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

209 W NORTH ST
LEBANON, IN
ZIP 46052
Phone: (765) 481-2015
Fax: (765) 481-2270

The NPI 1780838557 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/6/2008 and was last updated on 4/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	70000213	INDIANA	No
2	364S00000X	Clinical Nurse Specialist		70000213	INDIANA	No
3	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	28056006A	INDIANA	No
4	163WP0808X	Registered Nurse	Psychiatric/Mental Health	28056006A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200983160	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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