Chelsea Lajuan Whitehead

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

237 Hallbrook Dr
Fort Worth, TX 76134-3931

Phone

(817) 806-6090

NPI assigned

May 20, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1526774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526774400000",
    "number": "1164913752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 HALLBROOK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761343931",
            "telephone_number": "817-806-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 HALLBROOK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761343931",
            "telephone_number": "817-806-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "CHELSEA",
        "middle_name": "LAJUAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-20",
        "last_updated": "2018-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatia Renee White
• Thomas D White, MD
• Wendy Beth White, PA-C
• Judith Danielle Whited
• Charity Lenee Whitehead, RN BSN
• Keisha Whitehead
• Mary K Whitehead, NP
• Tracey Whitehead
• Ashley Whitener
• Pamela S Whitener, NP

• Nurse's Aide in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Nurse's Aide in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2018; 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.