Active NPI
Michele D Whatley, FNP
- Family Nurse Practitioner
- Sugar Land, TX
National Provider Identifier
1316384779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP123814
- Practice address
- 2110 Steamboat Run
Sugar Land, TX 77478-4322 - Phone
- (318) 229-7194
- NPI assigned
- May 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 715414 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP123814 | TX | Primary |
Addresses
Primary practice location
2110 Steamboat Run
Sugar Land, TX 77478-4322
Mailing address
2110 Steamboat Run
Sugar Land, TX 77478-4322
Phone (318) 229-7194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Health Network LLC | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895
Organizations & group practices 1
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": "1369440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434326400000",
"number": "1316384779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 STEAMBOAT RUN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774784322",
"telephone_number": "318-229-7194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 STEAMBOAT RUN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774784322",
"telephone_number": "318-229-7194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHATLEY",
"first_name": "MICHELE",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-25",
"last_updated": "2015-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "715414",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP123814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.