Jeannette Whitehead

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2014037431 Issued in MO

Practice address

320 Brookes Dr Ste 226
Hazelwood, MO 63042-2733

Phone

(314) 215-8836

NPI assigned

Oct 31, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Alpha Creek Home Health Services LLC

  • Home Health Agency
  • Florissant, MO
  • NPI 1942936158
  NPD Authorized official
• Alpha Creek in Home Health Services LLC

  • In Home Supportive Care Agency
  • Hazelwood, MO
  • NPI 1205562410
  NPD Authorized official

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1063285385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BROOKES DR STE 226",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422733",
            "telephone_number": "314-215-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BROOKES DR STE 226",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422733",
            "telephone_number": "314-215-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "JEANNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2014037431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• We Love Seniors in Home Services, LLC
• We Love Seniors Mental Health & Disabilities LLC
• Dean M Weich, DC
• Krista Jennings Weihl, WHNP-BC
• Taijuana Wells, MA., LPC
• Jeanetta Marie Wilkerson, DC
• Kristy T Williams, D.C.
• Monique Marie Williams, MD
• Pamela Wingo, LPN
• With Open Arms Healthcare LLC

• Licensed Practical Nurse in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.