Carrie J Whitaker, RN, PHN, MPH

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Practice address

2222 Bancroft Way
Berkeley, CA 94720-4301

Phone

(510) 642-2000

Fax

(510) 643-2997

NPI assigned

Aug 21, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Carrie J. Whitaker Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1366226524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 BANCROFT WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947204301",
            "telephone_number": "510-642-2000",
            "fax_number": "510-643-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 BANCROFT WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947204301",
            "telephone_number": "510-642-2000",
            "fax_number": "510-643-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "CARRIE",
        "middle_name": "J",
        "credential": "RN, PHN, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "WHITAKER",
            "middle_name": "J.",
            "prefix": "MS.",
            "credential": "RN, PHN, MPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ann M Wexler, MD
• Wheelchairs of Berkeley
• Brett Wheeler, MFT
• Trevor Cobble Wheeler
• William Alberto Whipple, MS, CCC-SLP
• Lucky Milo Whitburn-Thomas
• Alena White
• Audrey Delia White, PHARMD
• Corissa Lorraine White, M.A.
• Donna Maria White

• Urgent Care Clinic/Center in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.