Kathleen Diane Whitney, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A03385 APN Issued in AR

Practice address

6640 Congo Rd
Benton, AR 72019-6913

Phone

(501) 794-4110

Fax

(501) 316-9360

NPI assigned

Oct 25, 2010

Sex

Female

Sole proprietor

No

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

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Nephrology Associates PA

  • Nephrology Physician
  • Little Rock, AR
  • NPI 1992796924
  NPD (past)

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1104126150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6640 CONGO RD",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720196913",
            "telephone_number": "501-794-4110",
            "fax_number": "501-316-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 CONGO RD",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720196913",
            "telephone_number": "501-794-4110",
            "fax_number": "501-316-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "KATHLEEN",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03385 APN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael White, RECOVERY ASSISTANT
• Rebecca M White, APN
• Sandra White, CMP
• Amanda Whitley, OT
• Jonathan L Whitman, RECOVERY ASSISTANT
• Wibd--Little Rock, PLLC
• April Wilbanks, RECOVERY ASSISTANT
• Hannah Wiley, CMP
• Hayley Wilfong, RECOVERY ASSISTANT
• Trevon Christian Damian Wilkerson, MHPP

• Family Nurse Practitioner in Benton, AR
• Providers in Benton, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.