Individual provider Active NPI

Loan D Whitmore, NP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1033561519
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8728 Issued in AZ
Practice address
4892 N Stone Ave Ste 100
Tucson, AZ 85704-5761
Phone
(520) 396-1360
Fax
(520) 795-9043
NPI assigned
Jul 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8728 AZ Primary

Addresses

Primary practice location

4892 N Stone Ave Ste 100
Tucson, AZ 85704-5761

Mailing address

4892 N Stone Ave Ste 100
Tucson, AZ 85704-5761
Phone (520) 396-1360

Other practice location 1

5295 E Knight Dr
Tucson, AZ 85712-2147
Phone (520) 382-5972

Other names 1

  • Mrs. Kathy Whitmore Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160824002000 AZ Practitioner - Nurse Practitioner 9032404439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

630 N Alvernon Way
Suite 251
Tucson, AZ 85711-1879
Phone (520) 322-8460

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC CurrentSince Jun 19, 2017 Accepting new patients
Nextcare Arizona I JV LLC Current Accepting new patients
Tucson Physician Group Holdings, LLC CurrentSince Dec 6, 2017 Accepting new patients
Carondelet Medical Group, Inc Family Past Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

2460 N Swan Rd
Ste 140
Tucson, AZ 85712
Phone (520) 441-5405

4892 N Stone Ave
Ste 100
Tucson, AZ 85704
Phone (520) 396-1360

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

3501 E Speedway Blvd
Ste 300
Tucson, AZ 85716

630 N Alvernon Way
Ste 251
Tucson, AZ 85711
Phone (520) 322-8460

7850 N Silverbell Rd
Ste 132
Tucson, AZ 85743
Phone (480) 500-2286

5369 S Calle Santa Cruz
Ste 145
Tucson, AZ 85706
Phone (520) 573-7500

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/
  • Direct secure messaging: loan.whitmore.1@600.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 3

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": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1033561519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4892 N STONE AVE STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045761",
            "telephone_number": "520-396-1360",
            "fax_number": "520-795-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4892 N STONE AVE STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045761",
            "telephone_number": "520-396-1360",
            "fax_number": "520-795-9043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5295 E Knight Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122147",
            "country_code": "US",
            "telephone_number": "520-382-5972",
            "fax_number": "520-445-7727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITMORE",
        "first_name": "LOAN",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "WHITMORE",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.