Whitney Revette Hamilton, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA09311 Issued in TX

Practice address

1106 South St
Nacogdoches, TX 75964

Phone

(936) 564-8611

Fax

(936) 462-8489

NPI assigned

Sep 3, 2014

Last updated

Jul 9, 2019By 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

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Urgent Health Solutions, PLLC

  dba Urgent Doc

  • Urgent Care Clinic/Center
  • Lufkin, TX
  • NPI 1164621934
  Medicare reassignment

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1215337720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3488",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388033488",
            "telephone_number": "936-568-8425",
            "fax_number": "936-568-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 SOUTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "75964",
            "telephone_number": "936-564-8611",
            "fax_number": "936-462-8489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 N Mound St",
            "address_purpose": "LOCATION",
            "city": "Nacogdoches",
            "state": "TX",
            "postal_code": "75961",
            "country_code": "US",
            "telephone_number": "936-569-4682",
            "fax_number": "936-568-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1002 N Mound St",
            "address_purpose": "LOCATION",
            "city": "Nacogdoches",
            "state": "TX",
            "postal_code": "75961",
            "country_code": "US",
            "telephone_number": "936-569-4682",
            "fax_number": "936-568-8534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "WHITNEY",
        "middle_name": "REVETTE",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caprice Hale, LMSW
• Kenslee Elise Haley, M.S., CCC-SLP
• Mitchell D Haley, OD
• Barbara Hall, RN
• Sherrie L Hallman, PTA
• Connie Nicole Hamner, LVN
• Jeffrey Bishop Hancock, DDS
• Kaycie Daigle Hancock, CRNA
• Ronald Sammy Hancock, DDS
• Hanger Prosthetics & Orthotics Inc

• Physician Assistant in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.