Active NPI
David Whitehorn
- Acute Care Nurse Practitioner
- Beale AFB, CA
National Provider Identifier
1205208428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP129482
- Practice address
- 15301 Warren Shingle Rd
Beale AFB, CA 95903-1907 - Phone
- (530) 634-4892
- NPI assigned
- Oct 27, 2015
- Last updated
- Jul 5, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP129482 | TX | Primary |
Addresses
Primary practice location
15301 Warren Shingle Rd
Beale AFB, CA 95903-1907
Mailing address
15301 Warren Shingle Rd
Beale AFB, CA 95903-1907
Phone (530) 634-4662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP129482 | TX | MD | Acute Care Nurse Practitioner |
Interoperability endpoints
- dwhitehorn93156@direct.umcsn.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562284800000",
"number": "1205208428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15301 WARREN SHINGLE RD",
"city": "BEALE AFB",
"state": "CA",
"postal_code": "959031907",
"telephone_number": "530-634-4662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15301 WARREN SHINGLE RD",
"city": "BEALE AFB",
"state": "CA",
"postal_code": "959031907",
"telephone_number": "530-634-4892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITEHORN",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-27",
"last_updated": "2019-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "AP129482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beale AFB, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.