Rachel Lynne Whitehouse, D.O.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

2983 Issued in OK

Practice address

705 W Oakland St
Broken Arrow, OK 74012-1656

Phone

(918) 251-2666

Fax

(918) 258-7790

NPI assigned

Aug 29, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Acacia Medical Group

  • Family Medicine Physician
  • Broken Arrow, OK
  • NPI 1851400659
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1306955141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W OAKLAND ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121656",
            "telephone_number": "918-251-2666",
            "fax_number": "918-258-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W OAKLAND ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121656",
            "telephone_number": "918-251-2666",
            "fax_number": "918-258-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHOUSE",
        "first_name": "RACHEL",
        "middle_name": "LYNNE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "OK",
            "license": "2983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100089970A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Mattson White, M.S., CCC/SLP
• Kylee June White
• Sarah Arielle White
• Tenika White
• Valerie Lynn White, R.N.
• Claude Mary Whiteshirt, LPC
• John Kenton Whitham, D.C.
• Francesca Whitman
• Lauren Elizabeth Whitney
• Malory Harwell Whitney, MS CCC-SLP

• Adult Medicine Physician in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Adult Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.