Active NPI
Whitney Kauffman, PA
- Medical Physician Assistant
- Champaign, IL
National Provider Identifier
1043593262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 085004133
- Practice address
- 101 W University Ave
Champaign, IL 61820-3909 - Phone
- (217) 366-8107
- Fax
- (217) 366-6106
- NPI assigned
- Sep 23, 2011
- Last updated
- Nov 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085004133 | IL | Primary |
Addresses
Primary practice location
101 W University Ave
Champaign, IL 61820-3909
Mailing address
101 W University Ave
Champaign, IL 61820-3909
Phone (217) 366-8107
Other names 1
- Whitney Parrish
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085004133 | IL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health Clinic of Moultrie County LLC | Current | Accepting new patients |
Locations
2 W Adams St
Sullivan, IL 61951
Phone (217) 728-7353
2 W Adams St
Ste 200B
Sullivan, IL 61951
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Sullivan, IL
- NPI 1831361344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1043593262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W UNIVERSITY AVE",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203909",
"telephone_number": "217-366-8107",
"fax_number": "217-366-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W UNIVERSITY AVE",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203909",
"telephone_number": "217-366-8107",
"fax_number": "217-366-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFFMAN",
"first_name": "WHITNEY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": "085004133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WHITNEY",
"last_name": "PARRISH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.