BRANDON LANE WHITLOCK AG-ACNP NPI 1124353719

NPI Information

  • NPI: 1124353719
  • Provider Name: BRANDON LANE WHITLOCK, AG-ACNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1625 5TH ST
    CLARKSTON, WA
    ZIP 99403
  • Phone: (509) 295-8398

Map and Directions

Get Directions

NPI Details

Brandon Lane Whitlock, AG-ACNP is a family nurse practitioner in Clarkston, WA with 5 years of experience. Brandon Lane Whitlock, AG-ACNP NPI is 1124353719. 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:

1625 5TH ST
CLARKSTON, WA
ZIP 99403-001
Phone: (509) 295-8398
Fax: (509) 295-8416

The NPI 1124353719 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Nursing facility discharge management, more than 30 minutes (HCPCS:99316)
  • Extended inpatient or observation hospital service, first hour (HCPCS:99356)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)

The enumeration date for this NPI number is 10/15/2009 and was last updated on 6/27/2024.

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
1363LF0000XNurse PractitionerFamilyAP61081911WASHINGTONYes
2363LF0000XNurse PractitionerFamily65287IDAHONo

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.