Rebecca Sue Whitmire

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

R0166041 Issued in CA

Practice address

14708 Palmer Avenue
Clearlake, CA 95422-2945

Phone

(707) 953-7064

NPI assigned

Nov 26, 2021

Last updated

Nov 26, 2021By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1124785027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2945",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954222945",
            "telephone_number": "707-953-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14708 PALMER AVENUE",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954222945",
            "telephone_number": "707-953-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMIRE",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-26",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "R0166041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP PROVIDER ID",
            "identifier": "151744100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Warner
• Rose Marie Weaver, CADC-II
• John Alden Weeks, M.D.
• Cheyenne Raye West, SUDRC
• Daniel Michael Wheeler, RASI
• Judy Wilhite
• Katherine Robin Willems, FNP
• William F. Cress, MD, Inc
• Janet Wolfley
• Kathleen M Wood, B.A.

• Home Health Agency in Clearlake, CA
• Providers in Clearlake, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; 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.