Individual provider Active NPI

Lashaunda Whitley, APRN, FNP-C

  • Family Nurse Practitioner
  • Pascagoula, MS
National Provider Identifier
1295382828
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903480 Issued in MS
Practice address
2525 Telephone Rd
Pascagoula, MS 39567-3202
Phone
(228) 762-4483
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903480 MS Primary

Addresses

Primary practice location

2525 Telephone Rd
Pascagoula, MS 39567-3202

Mailing address

2525 Telephone Rd
Pascagoula, MS 39567-3202
Phone (228) 762-4483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191017000281 MS Practitioner - Nurse Practitioner 0244561579 Reassigns benefits to 4 organizations
I20221222000110 LA Practitioner - Nurse Practitioner 0244561579 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
903480MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Gulfport CurrentSince Nov 1, 2021 Accepting new patients
Singing River Health System CurrentSince Nov 1, 2021 Accepting new patients
Singing River Gulfport CurrentSince Nov 1, 2021 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Nov 28, 2022 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Nov 28, 2022 Accepting new patients
Signify Health, LLC CurrentSince Mar 23, 2022 Accepting new patients

Locations

6770 Johnston St
#B
Lafayette, LA 70503
Phone (337) 326-5702

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

2525 Telephone Rd
Pascagoula, MS 39567
Phone (228) 762-4483

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1295382828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 TELEPHONE RD",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395673202",
            "telephone_number": "228-762-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 TELEPHONE RD",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395673202",
            "telephone_number": "228-762-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "LASHAUNDA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.