TEDDY JOE WHITMER APRN NPI 1053336289

NPI Information

  • NPI: 1053336289
  • Provider Name: TEDDY JOE WHITMER, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1641 S US HIGHWAY 231
    CRAWFORDSVILLE, IN
    ZIP 47933
  • Phone: (765) 307-7146

Map and Directions

Get Directions

NPI Details

Teddy Joe Whitmer, APRN is a family nurse practitioner in Crawfordsville, IN. Teddy Joe Whitmer, APRN NPI is 1053336289. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1641 S US HIGHWAY 231
CRAWFORDSVILLE, IN
ZIP 47933-421
Phone: (765) 307-7146
Fax: (833) 464-2510

The NPI 1053336289 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 7/12/2006 and was last updated on 3/27/2024.

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
1163W00000XRegistered Nurse28128241INDIANANo
2363LF0000XNurse PractitionerFamily71002142INDIANAYes

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
1200885980MEDICAIDINDIANA
2Q71519OTHERUPIN
311564425OTHERINDIANACAQH

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.