Geoffrey Whitley, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2267850 Issued in MA

Practice address

C8 Shipway PL
Charlestown, MA 02129-4301

Phone

(325) 439-9799

NPI assigned

Aug 17, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

DCS Mental Health, IncGroup PAC ID 8820992456, 20 clinicians

Whitley Wellness LLCGroup PAC ID 9537420963, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Whitley Wellness LLC

  • Community/Behavioral Health Agency
  • Charlestown, MA
  • NPI 1205298148
  Medicare reassignment Care Compare group Authorized official
• DCS Mental Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Medford, MA
  • NPI 1215912894
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1083994404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 NEW STATE HWY",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027675460",
            "telephone_number": "508-880-6868",
            "fax_number": "508-880-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C8 SHIPWAY PL",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021294301",
            "telephone_number": "325-439-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "GEOFFREY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-17",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2267850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PAYERS",
            "identifier": "02354878987",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "geoffrey@whitleywellness.com",
            "affiliation": "N",
            "address_1": "C8 Shipway Pl",
            "city": "Charlestown",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021294301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "geoffrey@whitleywellness.com",
            "affiliation": "N",
            "address_1": "C8 Shipway Pl",
            "city": "Charlestown",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021294301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amira Walton, MSW
• Deborah Wanzer, LICSW
• Peter Shea Ward, MHC
• Joseph A Whitehorn, PHD
• Whitley Wellness LLC
• Mysha R Whorley, MA
• Tara R Whyte, OTR/L
• Patricia Lucky Williams, RN
• Claire Wilms, LICSW
• Natalia Maria Wojnowski, MD

• Family Nurse Practitioner in Charlestown, MA
• Providers in Charlestown, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.