Chrishonda Marie Whitlock, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3330 Masonic Dr
Alexandria, LA 71301-3841

Phone

(318) 487-1122

NPI assigned

Aug 21, 2018

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

Medicare fee-for-service enrollment

Enrolled in LA

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

Physician Assistant

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.

• River Oaks Emergency Group, LLC

  • Emergency Medicine Physician
  • Alexandria, LA
  • NPI 1407448186
  Medicare reassignment
• Sound Physicians Emergency Medicine of Louisiana Inc

  • Emergency Medicine Physician
  • Lake Charles, LA
  • NPI 1396253407
  Medicare reassignment
• Mid Louisiana Surgical Specialists

  • Specialist
  • Alexandria, LA
  • NPI 1477580637
  NPD (past)

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1043790876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 WISE ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713016161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 MASONIC DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013841",
            "telephone_number": "318-487-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "CHRISHONDA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Samuel White, PA
• Victor White, LPC, LAC, CCS
• Maria Whitehead, D.D.S.
• Matthew Tracy Whitehead, D.D.S.
• Tashiana Whitehead
• Elizabeth Whitmore, RN
• Charles Rud Whittington, DC
• Sarah Ann Whittington, BSN, RN, CCRN
• Kai Alexandria Wicker Brown, MD
• Miriam J Wilbon, PA

• Physician Assistant in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.