Barbara Jean Whitaker, DNP, MPH, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041309750 Issued in IL

Practice address

2732 Cliff Dr
Fairview Heights, IL 62208-1116

Phone

(618) 791-3226

NPI assigned

Aug 21, 2023

Sex

Female

Sole proprietor

Yes

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

Registered Nurse

State licenses

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.

• St Clair County Illinois

  • Public Health or Welfare Agency
  • Belleville, IL
  • NPI 1417002601
  NPD

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1104600485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 CLIFF DR",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081116",
            "telephone_number": "618-791-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 CLIFF DR",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081116",
            "telephone_number": "618-791-3226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Public Sq Ste 150",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622201695",
            "country_code": "US",
            "telephone_number": "618-825-4475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "BARBARA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DNP, MPH, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041309750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew W Weirich
• Mary Elizabeth Welch
• Wellnessone of Fairview Heights, LLC
• Amy Michele Welser, BS
• Cayla Denise Wester, FNP
• Dianne C Whitehead, LCSW
• Nicholas Whitesides, OD
• Shawn T Wilcox
• Carlee Rae Williamson
• Maria Noel Wolf, CRNA

• Registered Nurse in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.