Active NPI
Natalie Reagan Whytlaw, MS.CCC.SLP
- Speech-Language Pathologist
- Odessa, TX
National Provider Identifier
1083746192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 100252
- Practice address
- 620 N Alleghaney Ave
Odessa, TX 79761-4408 - Phone
- (432) 332-8244
- Fax
- (432) 580-7428
- NPI assigned
- Mar 12, 2007
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 100252 | TX | Primary |
Addresses
Primary practice location
620 N Alleghaney Ave
Odessa, TX 79761-4408
Mailing address
4624 Garden LN
Odessa, TX 79761-3518
Phone (432) 272-0937
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T2673 | Other | TX | BCBS PROVIDER NUMBER |
| 100252 | Other | TX | STATE LICENSE NUMBER |
| 132534 | Other | TX | SUPERIOR PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100252 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permian Basin Rehabilitation Center | Past | Accepting new patients | |
| Permian Basin Rehabilitation Center for Crippled Children and Adults | Speech-Language Pathologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Audiologist
- Odessa, TX
- NPI 1992918585
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Odessa, TX
- NPI 1104958701
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083746192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4624 GARDEN LN",
"city": "ODESSA",
"state": "TX",
"postal_code": "797613518",
"telephone_number": "432-272-0937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 N ALLEGHANEY AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614408",
"telephone_number": "432-332-8244",
"fax_number": "432-580-7428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHYTLAW",
"first_name": "NATALIE",
"middle_name": "REAGAN",
"name_prefix": "Mrs.",
"credential": "MS.CCC.SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "100252",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "8T2673",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "100252",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR PROVIDER NUMBER",
"identifier": "132534",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.