Individual provider Active NPI

Whitney Ann Whitaker, PA-C

  • Medical Physician Assistant
  • Lexington, KY
National Provider Identifier
1013559848
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2553 Issued in KY
Practice address
211 Fountain CT Ste 220
Lexington, KY 40509-2696
Phone
(859) 629-7265
Fax
(859) 629-7266
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2553 KY Primary

Addresses

Primary practice location

211 Fountain CT Ste 220
Lexington, KY 40509-2696

Mailing address

PO Box 936
London, KY 40743-0936

Other identifiers 1

IdentifierTypeStateIssuer
7100633320MedicaidKY

Other names 1

  • Whitney Ann Hankins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191121002277 KY Practitioner - Physician Assistant 0143652610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lake Cumberland Rheumatology PLLCGroup PAC ID 0446309058, 22 clinicians

Practice addresses (Care Compare)

101 Prosperous PL
Suite 350
Lexington, KY 40509-1891
Phone (859) 654-0160

340 New Towne Dr
Bowling Green, KY 42103-7966
Phone (606) 802-2300

Hospital & facility affiliations

  • Saint Joseph East Hospital, Lexington, KY, CCN 180143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2553KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates PSC Current Accepting new patients
Lake Cumberland Rheumatology, PLLC CurrentSince Nov 11, 2024 Accepting new patients
Lake Cumberland Rheumatology, PLLC CurrentSince Nov 11, 2024 Accepting new patients

Locations

3897 Charlestown Rd
New Albany, IN 47150
Phone (502) 495-3665

101 Prosperous Pl
Ste 350
Lexington, KY 40509
Phone (859) 654-0160

1675 S Main St
Ste 4
London, KY 40741
Phone (606) 266-8266

Interoperability endpoints

  • Direct secure messaging: whitney.whiaker.p1@direct.lcr.nextgenshare.com
  • Direct secure messaging: whitneywhitaker@kysjhspe.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1013559848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "fax_number": "606-330-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 FOUNTAIN CT STE 220",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092696",
            "telephone_number": "859-629-7265",
            "fax_number": "859-629-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "WHITNEY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA2553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100633320",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "HANKINS",
            "middle_name": "ANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.