Individual provider Active NPI

Stacy Lynn Whisner, CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1093964710
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-06117 Issued in OH
Practice address
1161 Bethel Rd
Suite 303
Columbus, OH 43220-2773
Phone
(614) 442-2600
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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 NP-06117 OH Primary

Addresses

Primary practice location

1161 Bethel Rd
Suite 303
Columbus, OH 43220-2773

Mailing address

1161 Bethel Rd
Suite 303
Columbus, OH 43220-2773
Phone (614) 442-2600

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP-06117OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westland Family Care LLC CurrentSince Jun 30, 2024 Accepting new patients
Family Practice West Inc CurrentSince Aug 1, 2023 Accepting new patients
Vinay Vermani, M.D., Dba Tri-State Cancer and Blood Specialist Past Accepting new patients
Oral & Facial Surgery for Adults & Children LLC PastSince Nov 1, 2019 Accepting new patients
Pro Health Services LLC Past Accepting new patients
Vinay Vermani MD Incorporated Past Accepting new patients
Westland Family Care LLC PastSince Nov 13, 2022 Accepting new patients

Locations

5212 W Broad St
Ste B
Columbus, OH 43228
Phone (614) 769-3342

949 E Livingston Ave
Columbus, OH 43205
Phone (614) 252-3181

100 N Murray Hill Rd
Columbus, OH 43228
Phone (614) 851-1951

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1093964710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 BETHEL RD",
            "address_2": "SUITE 303",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202773",
            "telephone_number": "614-442-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 BETHEL RD",
            "address_2": "SUITE 303",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202773",
            "telephone_number": "614-442-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHISNER",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP-06117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.