Whitehead Wound Care PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R853722 Issued in MS

Legal business name

WHITEHEAD WOUND CARE PLLC

Practice address

427 Highway 51 N
Brookhaven, MS 39601-2350

Phone

(601) 835-9444

NPI assigned

Jul 31, 2018

Last updated

Jul 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lesa Colleen Whitehead, NP-CNPI 1750653382

Title

NP-C

Phone

(601) 395-2585

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lesa Colleen Whitehead, NP-C

  • Family Nurse Practitioner
  • Gloster, MS
  • NPI 1750653382
  NPD Authorized official

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1225516354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 756",
            "city": "CENTREVILLE",
            "state": "MS",
            "postal_code": "396310756",
            "telephone_number": "601-395-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 HIGHWAY 51 N",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012350",
            "telephone_number": "601-835-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHEAD WOUND CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "LESA",
        "authorized_official_middle_name": "COLLEEN",
        "authorized_official_title_or_position": "NP-C",
        "authorized_official_telephone_number": "601-395-2585",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R853722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06475799",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tangela S. Watson
• Anna Katherine Weaver
• Kristi D. Webber
• Wells Vision LLC
• Margaret Louise White, PTA
• Loren Watts Williams, MSN, APRN, FNP-C
• Terry Catchings Williams, NP-C
• Katressia Antwanette Wilson
• Sarah Leann Wilson, FNP-C
• Devon Brooke Winborne

• Family Nurse Practitioner in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.