STEPHANIE C WHITTAKER CNS NPI 1902043755

NPI Information

NPI: 1902043755
Provider Name: STEPHANIE C WHITTAKER, CNS
Classification: Clinical Nurse Specialist - 364SP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
705 RILEY HOSPITAL DR
ROOM 2001
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 944-9981
Get Directions

Stephanie C Whittaker, CNS is a pediatrics clinical nurse specialist in Indianapolis, IN. Stephanie C Whittaker, CNS NPI is 1902043755. 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:

705 RILEY HOSPITAL DR
ROOM 2001
INDIANAPOLIS, IN
ZIP 46202-109
Phone: (317) 944-9981
Fax: (317) 944-0282

The NPI 1902043755 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 1/15/2009 and was last updated on 12/15/2020.

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	364S00000X	Clinical Nurse Specialist		71002852	INDIANA	No
2	364SP0200X	Clinical Nurse Specialist	Pediatrics	71002852A	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	000000599654	OTHER	INDIANA	ANTHEM
2	P00926488	OTHER	INDIANA	RAILROAD MEDICARE

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: 4/28/2024

NPI Synchronization or Removal

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