Individual provider Active NPI

Lakisha S. Whittaker, APN-CNP

  • Family Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1053723981
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209011403 Issued in IL
Practice address
9977 Woods Dr FL 1
Skokie, IL 60077-1057
Phone
(224) 364-2273
Fax
(847) 663-8290
NPI assigned
May 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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 209011403 IL Primary

Addresses

Primary practice location

9977 Woods Dr FL 1
Skokie, IL 60077-1057

Mailing address

9977 Woods Dr FL 1
Skokie, IL 60077-1057
Phone (224) 364-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200313000320 TX Practitioner - Nurse Practitioner 9436378528 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Express of the Beaumont Area PAGroup PAC ID 5698816882, 211 clinicians
Hunt Regional Urgent CareGroup PAC ID 1850729682, 31 clinicians

Practice addresses (Care Compare)

3195 Dowlen Rd
Suite 105
Beaumont, TX 77706-7272
Phone (409) 860-1888

5000 E Interstate Hwy 30
Suite 120
Fate, TX 75189-8848
Phone (469) 580-0338

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.13 of 100Reported as group
Quality
90.84
Improvement activities
40
Cost
77.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209011403ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hunt Regional Urgent Care CurrentSince Nov 1, 2024 Accepting new patients
Ies Central Texas PLLC CurrentSince Jun 1, 2023 Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Dec 25, 2023 Accepting new patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Primamed Physicians PLLC CurrentSince Feb 5, 2020 Accepting new patients
Primamed Physicians PLLC CurrentSince Feb 5, 2020 Accepting new patients
Small Hospital Innovations LLC CurrentSince Nov 1, 2024 Accepting new patients
Doctors Express of the Temple Area, PA Past Accepting new patients
Endeavor Health Clinical Operations Past Accepting new patients
Citimed, P.a. Past Accepting new patients
Endeavor Health Medical Group Past Accepting new patients

Locations

596 E Stacy Rd
Allen, TX 75002
Phone (469) 898-0199

4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114

6600 S Mopac Expy
Ste 2180
Austin, TX 78749
Phone (512) 522-3010

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222

1080 E Lennon Dr
#1
Emory, TX 75440
Phone (430) 266-6008

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

5000 E Interstate 30
Ste 120
Fate, TX 75189
Phone (469) 540-2482

4211 Joe Ramsey Blvd E
Ste 100
Greenville, TX 75401
Phone (903) 408-7700

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

2402 Bay Area Blvd
Ste M
Houston, TX 77058
Phone (281) 488-8797

6340 N Eldridge Pkwy
Ste O
Houston, TX 77041
Phone (346) 385-9181

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

1921 W League City Pkwy
Ste 130
League City, TX 77573
Phone (281) 937-2590

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

3304 Alma Dr
Plano, TX 75023
Phone (972) 424-6581

810 E Ralph Hall Pkwy
Ste 100
Rockwall, TX 75032
Phone (469) 402-3400

4724 Lakeview Pkwy
Ste 300
Rowlett, TX 75088
Phone (469) 947-6240

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

Organizations & group practices 11

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 1

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1053723981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9977 WOODS DR FL 1",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771057",
            "telephone_number": "224-364-2273",
            "fax_number": "847-663-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9977 WOODS DR FL 1",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771057",
            "telephone_number": "224-364-2273",
            "fax_number": "847-663-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "LAKISHA",
        "middle_name": "S.",
        "credential": "APN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.