Mary Whitman, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

094867 Issued in MO

Practice address

1501 School Rd
Lake Ozark, MO 65049-9761

Phone

(877) 406-2662

NPI assigned

Sep 20, 2005

Last updated

May 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1194710764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655560777",
            "telephone_number": "877-406-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SCHOOL RD",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650499761",
            "telephone_number": "877-406-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "MARY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "094867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425198702",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tri-Rivers Planned Parenthood, Inc.
• Whitney Verploeg
• Jill B. Wade-Scott, LPC
• Kirsten Ann Welch, RN
• Wellness Institute LLC
• Donald L. Wilhelm, M.D.
• Lauren Whitney Wilson, PA-C
• Women's Health Consultants of the Ozarks, LLC
• Paula Woods
• Lisa Renee Zaritz, LPC

• Nurse Practitioner in Lake Ozark, MO
• Providers in Lake Ozark, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.