Velverly Whitehurst

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2210 Line Ave Ste 207
Shreveport, LA 71104-2134

Phone

(318) 675-1112

Fax

(866) 307-9980

NPI assigned

Sep 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1376091173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 LINE AVE STE 207",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042134",
            "telephone_number": "318-675-1112",
            "fax_number": "866-307-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 LINE AVE STE 207",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042134",
            "telephone_number": "318-675-1112",
            "fax_number": "866-307-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHURST",
        "first_name": "VELVERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White'S Compounding Pharmacy, LLC
• Lacey Whited, MD
• Steven C Whited, MD
• Brian O Whitehead, LCSW
• Jennifer Whitehurst
• Gail Buchanan Whitener, M A CCC-SLP
• Whites All Star Consultant
• Mia Deshawn Whiteside, LCSW
• Kiah Shunnae Whitfield
• Whitney Voss LLC

• Case Manager/Care Coordinator in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.