Kenyotter Whipple

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN246767 Issued in GA

Practice address

1400 Gray Hwy Apt 808
Macon, GA 31211-1931

Phone

(478) 258-8585

NPI assigned

Jun 19, 2014

Last updated

Jun 25, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Inner Community Health

  • Psychiatry Physician
  • Duluth, GA
  • NPI 1891398541
  Medicare reassignment NPD
• Personal Recovery Network LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869
  Medicare reassignment NPD
• River Edge Behavioral Health Center

  • Community/Behavioral Health Agency
  • Macon, GA
  • NPI 1174512966
  Medicare reassignment NPD
• Uhs of Anchor L.P.

  dba Southern Crescent Behavioral Health System

  • Psychiatric Hospital
  • Stockbridge, GA
  • NPI 1952537920
  Medicare reassignment NPD
• Uhs of Anchor L.P.

  dba Anchor Hospital

  • Psychiatric Hospital
  • Atlanta, GA
  • NPI 1023095429
  NPD
• Advanced Anesthesia Associates, PC

  • Anesthesiology Physician
  • Covington, GA
  • NPI 1649260738
  NPD (past)

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1356755128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27901",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312217901",
            "telephone_number": "478-259-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 GRAY HWY APT 808",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312111931",
            "telephone_number": "478-258-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIPPLE",
        "first_name": "KENYOTTER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN246767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Wheeler, NP-C
• Michael Chandler Wheeler, RBT
• Kristen Whelchel, PHARMD
• Tawanda Nacole Whidby, APRN
• Alexus Whipple, RBT
• Monique Whipple, SLP
• Ronaya Lakrista Whipple
• Barbara Michelle Whisenant
• Deborah Whitby
• Michell Whitby, HAIR LOSS SPECIALIST

• Psychiatric/Mental Health Nurse Practitioner in Macon, GA
• Providers in Macon, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.

Verify at the official NPI Registry.