Individual provider Active NPI

Kate Whitaker, APRN-BC

  • Family Nurse Practitioner
  • Casper, WY
National Provider Identifier
1114407053
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21972.1777 Issued in WY
Practice address
6631 E 2ND St
Casper, WY 82609-4355
Phone
(307) 268-9904
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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 21972.1777 WY Primary

Addresses

Primary practice location

6631 E 2ND St
Casper, WY 82609-4355

Mailing address

1130 Carriage LN
Casper, WY 82609-2431
Phone (307) 262-7044

Other practice location 1

5715 E 2nd St
Casper, WY 82609-4322
Phone (307) 265-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20181107001532 WY Practitioner - Nurse Practitioner 2668726829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ms Holdings LLCGroup PAC ID 3072985357, 5 clinicians

Practice addresses (Care Compare)

1300 Venture Way
Suite 206
Casper, WY 82609-4353
Phone (307) 268-9904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ms Holdings, LLC Family CurrentSince Jan 1, 2023 Accepting new patients

Locations

6631 E 2nd St
Casper, WY 82609
Phone (307) 268-9904

1300 Venture Way
Ste 206
Casper, WY 82609
Phone (307) 268-9904

Interoperability endpoints

  • Direct secure messaging: kate.whitaker.1@33592.direct.athenahealth.com

Organizations & group practices 1

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": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1114407053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 CARRIAGE LN",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092431",
            "telephone_number": "307-262-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6631 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094355",
            "telephone_number": "307-268-9904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5715 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826094322",
            "country_code": "US",
            "telephone_number": "307-265-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "KATE",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "21972.1777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.