Whitaker National Corporation

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

WHITAKER NATIONAL CORPORATION

Practice address

540 Jett Dr
Jackson, KY 41339

Phone

(606) 666-6000

NPI assigned

May 23, 2016

Organization subpart

No

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

Authorized official

Name

Jennifer Moore

Title

Cfo

Phone

(800) 242-6711

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1174970909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936434",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936434",
            "telephone_number": "800-377-8721",
            "fax_number": "304-697-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 JETT DR",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "41339",
            "telephone_number": "606-666-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITAKER NATIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "800-242-6711"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Watts Healthcare Solutions PLLC
• Kolby Allen Watts, PT
• Rebecca Lee Watts, PT, DPT
• James B West, PA-C
• Western Healthcare Services Kentucky LLC
• Charles Derrick Whitaker, DPT
• Carlos White
• Leo White
• Tiffany Ann White, FNP-BC
• Edna Elizabeth Williams, APRN

• Emergency Medicine Physician in Jackson, KY
• Providers in Jackson, KY by specialty
• Emergency Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.