MS. ROBERTA GAIL WHITEAKER APRN-BC NPI 1437117611

NPI Information

NPI: 1437117611
Provider Name: MS. ROBERTA GAIL WHITEAKER, APRN-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
101 E WOOD ST
HEART FAILURE CENTER
SPARTANBURG, SC
ZIP 29303
Phone: (864) 560-6409
Get Directions

MS. Roberta Gail Whiteaker, APRN-BC is an acute care nurse practitioner in Spartanburg, SC. MS. Roberta Gail Whiteaker, APRN-BC NPI is 1437117611. 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:

101 E WOOD ST
HEART FAILURE CENTER
SPARTANBURG, SC
ZIP 29303-040
Phone: (864) 560-6409
Fax: (864) 560-7715

The NPI 1437117611 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 5/4/2006 and was last updated on 1/14/2021.

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	363LA2100X	Nurse Practitioner	Acute Care	AC2301	SOUTH CAROLINA	Yes
2	363LA2200X	Nurse Practitioner	Adult Health	A2301	SOUTH CAROLINA	No

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	AA91179225	OTHER	SOUTH CAROLINA	MEDICARE PIN
2	S753223365	OTHER	SOUTH CAROLINA	MEDICARE PIN
3	NP0353	MEDICAID	SOUTH CAROLINA

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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