David Melvin Whittaker, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3002555 Issued in KY

Practice address

1919 State St Ste 364
New Albany, IN 47150-6801

Phone

(812) 949-4767

Fax

(812) 948-4338

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. David Melvin Whittaker Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

Practice roles

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.

• Counseling Associates of Southern Indiana, PSC

  • Psychiatry Physician
  • New Albany, IN
  • NPI 1467565143
  NPD (past)
• FMMG LLC

  • Family Medicine Physician
  • New Albany, IN
  • NPI 1184912370
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471737600000",
    "number": "1023038403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 STATE ST STE 364",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506801",
            "telephone_number": "812-949-4767",
            "fax_number": "812-948-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 STATE ST STE 364",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506801",
            "telephone_number": "812-949-4767",
            "fax_number": "812-948-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "DAVID",
        "middle_name": "MELVIN",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2016-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3002555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "WHITTAKER",
            "middle_name": "MELVIN",
            "prefix": "MR.",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anthony L Westmoreland, RPH
• Tabatha Wetherington, M.S CCC-SLP
• Thomas Wheeler, D.M.D.
• Dylan White, PHARMD
• Gary Bryce Whitson II, PHARMD, MSIA
• Matthew Cole Whittaker, PA-C
• Natalie Whitten, DNP, CRNA
• Rebekah Whitten
• Robert Whittington
• Wickel Vascular Surgery & Medicine PC

• All providers in New Albany, IN
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2016; 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.