Active NPI
Kathryn Lynn Whitley, N.P.
- Family Nurse Practitioner
- Martinsville, VA
National Provider Identifier
1295927796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024164699
- Practice address
- 295 Commonwealth Blvd
Henry Martinsville Health Department
Martinsville, VA 24114 - Phone
- (276) 638-2311
- Fax
- (276) 638-3537
- NPI assigned
- Aug 17, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024164699 | VA | Primary |
Addresses
Primary practice location
295 Commonwealth Blvd
Henry Martinsville Health Department
Martinsville, VA 24114
Mailing address
PO Box 1032
Henry Martinsville Health Department
Martinsville, VA 24114
Phone (276) 638-2311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024164699 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187308800000",
"number": "1295927796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1032",
"address_2": "HENRY MARTINSVILLE HEALTH DEPARTMENT",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "24114",
"telephone_number": "276-638-2311",
"fax_number": "276-638-3537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 COMMONWEALTH BLVD",
"address_2": "HENRY MARTINSVILLE HEALTH DEPARTMENT",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "24114",
"telephone_number": "276-638-2311",
"fax_number": "276-638-3537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITLEY",
"first_name": "KATHRYN",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-17",
"last_updated": "2007-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024164699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.