David Eugene Whitehead Jr.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2550 Belle Chasse Hwy Ste 150
Gretna, LA 70053-6733

Phone

(504) 362-9010

NPI assigned

May 9, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sims Social Services, LLC

  • Community/Behavioral Health Agency
  • Terrytown, LA
  • NPI 1972743078
  NPD
• Victor Sims Counseling Services, Inc

  • Clinical Social Worker
  • Gretna, LA
  • NPI 1376311241
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1003490723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 FOS AVE",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582715",
            "telephone_number": "941-724-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 BELLE CHASSE HWY STE 150",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700536733",
            "telephone_number": "504-362-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "DAVID",
        "middle_name": "EUGENE",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-09",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "2550 Belle Chasse Hwy Ste 150",
            "city": "Gretna",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700536733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Westbank Industrial Medicine Clinic, LLC
• Westside Dermatology Associates a Professional Medical Corporation
• Gabrielle Marie Weyer, APRN
• Monica White, LMSW
• Rachel Lynn White, MASSAGE THERAPIST
• Derek Alexander Wierzbicki, M.D.
• Randall Mark Wilk, MD DDS PHD
• Ijale Wilkerson
• Joey Meko Williams-Thompson
• Angel Nicole Williams, RSW

• Case Manager/Care Coordinator in Gretna, LA
• Providers in Gretna, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.