Individual provider Active NPI

Catherine Whitaker, MS, AGCNP-BC

  • Nurse Practitioner
  • Ashburnham, MA
National Provider Identifier
1093359895
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2266727 Issued in MA
Practice address
61 Main St
Ashburnham, MA 01430
Phone
(978) 827-5167
Fax
(978) 827-5002
NPI assigned
Nov 5, 2019
Last updated
Nov 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2266727 MA Primary

Addresses

Primary practice location

61 Main St
Ashburnham, MA 01430

Mailing address

61 Main St
Ashburnham, MA 01430-1247
Phone (978) 827-5167

Other practice location 1

122 Fitzgerald Rd
Rindge, NH 03461-5238
Phone (978) 855-3840

Other practice location 2

266 Main St
Gardner, MA 01440
Phone (978) 630-5030

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200227001196 MA Practitioner - Nurse Practitioner 8123455367 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heywood Medical Group Inc.Group PAC ID 6901882836, 111 clinicians

Practice addresses (Care Compare)

250 Green St
Gardner, MA 01440-1396
Phone (978) 630-6460

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2266727MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Heywood Memorial Hospital Clinic/Center CurrentSince Feb 1, 2020 Accepting new patients
Athol Memorial Hospital Incorporated Clinic/Center CurrentSince Feb 1, 2020 Accepting new patients
Henry Heywood Memorial Hospital Clinic/Center CurrentSince Feb 1, 2020 Accepting new patients
Heywood Medical Group Inc. Clinic/Center CurrentSince Feb 1, 2020 Accepting new patients
Ashburnham Family Medicine, Inc. Clinic/Center PastSince Nov 17, 2019 Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

250 Green St
Gardner, MA 01440
Phone (978) 630-5050

266 Main St
Gardner, MA 01440
Phone (978) 630-5030

Interoperability endpoints

  • Direct secure messaging: catherine.whitaker.1@192.direct.athenahealth.com

Organizations & group practices 5

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 6

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": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1093359895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MAIN ST",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "014301247",
            "telephone_number": "978-827-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MAIN ST",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "01430",
            "telephone_number": "978-827-5167",
            "fax_number": "978-827-5002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Fitzgerald Rd",
            "address_purpose": "LOCATION",
            "city": "Rindge",
            "state": "NH",
            "postal_code": "034615238",
            "country_code": "US",
            "telephone_number": "978-855-3840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "266 Main St",
            "address_purpose": "LOCATION",
            "city": "Gardner",
            "state": "MA",
            "postal_code": "01440",
            "country_code": "US",
            "telephone_number": "978-630-5030",
            "fax_number": "978-630-5033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "CATHERINE",
        "credential": "MS, AGCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2266727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburnham, MA

Sources for this page

Verify at the official NPI Registry.