Individual provider Active NPI

Katherine Louise Whitaker-Lewis, RPA-C, LCCE, IBCLC

  • Lactation Consultant (Non-RN)
  • Staten Island, NY
National Provider Identifier
1144487802
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
10726339 Issued in NY
Practice address
16 Stebbins Ave
Staten Island, NY 10310-1638
Phone
(718) 448-0819
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X 10726339 NY Primary
Physician Assistant 363A00000X 04836-1 NY

Addresses

Primary practice location

16 Stebbins Ave
Staten Island, NY 10310-1638

Mailing address

16 Stebbins Ave
Staten Island, NY 10310-1638
Phone (718) 448-0819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20221221001747 NY Practitioner - Physician Assistant 0941670673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of New York at Stony Brook, School of Medicine, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Planned Parenthood of Greater New York IncGroup PAC ID 7810293297, 34 clinicians

Practice addresses (Care Compare)

543 Bay Rd
Queensbury, NY 12804-1441
Phone (516) 750-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10726339NYMDLactation Consultant (Non-RN)
04836-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of the Southern Finger Lakes Inc. Past Accepting new patients

Organizations & group practices 2

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1144487802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 STEBBINS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101638",
            "telephone_number": "718-448-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 STEBBINS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101638",
            "telephone_number": "718-448-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER-LEWIS",
        "first_name": "KATHERINE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "RPA-C, LCCE, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NY",
            "license": "10726339",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "04836-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.