Jennilyn P. Whittam, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

336306 Issued in NY

Practice address

41 Castle Point Rd
Wappingers Falls, NY 12590-7004

Phone

(845) 831-2000

NPI assigned

Jun 14, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Orthopedic Assoc of Dutchess County P C

  • Orthopaedic Surgery Physician
  • Poughkeepsie, NY
  • NPI 1386661452
  Medicare reassignment NPD
• Montrose Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Wappingers Falls, NY
  • NPI 1225086325
  NPD

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1023339090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 MALDEN TPKE",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124775021",
            "telephone_number": "845-616-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CASTLE POINT RD",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125907004",
            "telephone_number": "845-831-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAM",
        "first_name": "JENNILYN",
        "middle_name": "P.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03240420",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Elowen Wheeler, LPN
• Luke Patrick Whelan, DDS
• Adam P Whitehead, M.D.
• Claudia Whiteis, P.T.
• Joel Whitlock
• Wholehearted Adult Health NP, PLLC
• Sinjin Breed Wightman, DPT
• Andrew Stephen Wilantewicz, DPM
• Christopher T Wilantewicz, DDS
• Stephen E Wilantewicz, DMD

• Family Nurse Practitioner in Wappingers Falls, NY
• Providers in Wappingers Falls, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.