Deseree Passion Whitaker

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

238 N Blackwood Dr
Zanesville, OH 43701-4658

Phone

(740) 408-2801

NPI assigned

Dec 8, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1275139933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 N BLACKWOOD DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437014658",
            "telephone_number": "740-408-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 N BLACKWOOD DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437014658",
            "telephone_number": "740-408-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "DESEREE",
        "middle_name": "PASSION",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103100268499",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "home",
            "affiliation": "N",
            "address_1": "238 N Blackwood Dr",
            "city": "Zanesville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437014658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaleigh Westfall, CT
• Amanda Wheeler, PHARMD
• Jessica Wheeler
• Linda Kay Whikehart, LISW, LICDC
• Vicki Ann Whitacre, MD
• Nicole Susan Whitaker, O.D.
• Ralph Michael Whitaker, D.D.S.
• Jasmine Hessam White, PA
• Lori Ann White, LPN
• Raya White, DNP, APRN, PMHNP BC

• Case Manager/Care Coordinator in Zanesville, OH
• Providers in Zanesville, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.