Individual provider Active NPI

Jessica Marie Whitaker, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1376375345
Registry record updated Aug 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
219887 Issued in OK
Practice address
701 Cedar Lake Blvd Ste 120
Oklahoma City, OK 73114-7815
Phone
(405) 445-1210
NPI assigned
Aug 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 219887 OK Primary

Addresses

Primary practice location

701 Cedar Lake Blvd Ste 120
Oklahoma City, OK 73114-7815

Mailing address

440 NE 22ND St
Newcastle, OK 73065-8300
Phone (405) 996-0552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20241011000962 OK Practitioner - Nurse Practitioner 2365974680 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williams Medical Group Practice, LLCGroup PAC ID 3375832157, 212 clinicians

Practice addresses (Care Compare)

411 W Grand Ave
Xpress Wellness Urgent Care
Chickasha, OK 73018-5862
Phone (405) 224-0053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Aug 28, 2024 Accepting new patients
Spectrum Rehab Specialists, LLC CurrentSince Feb 1, 2026 Accepting new patients
Allied Wound Care Specialist PLLC CurrentSince Nov 1, 2025 Accepting new patients
Spectrum Healthcare Solutions, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Icare Center LLC CurrentSince Nov 1, 2025 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Aug 28, 2024 Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients

Locations

411 W Grand Ave
Chickasha, OK 73018
Phone (405) 224-0053

1120 N Highway 81
Duncan, OK 73533
Phone (580) 536-9355

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

21001 SE 29th St
Harrah, OK 73045
Phone (405) 391-5526

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

4220 N Classen Blvd
Ste A
Oklahoma City, OK 73118
Phone (405) 768-5749

701 Cedar Lake Blvd
Ste 120
Oklahoma City, OK 73114
Phone (405) 286-1170

2903 W Britton Rd
Oklahoma City, OK 73120
Phone (405) 755-8028

4220 N Classen Blvd
Ste C
Oklahoma City, OK 73118
Phone (405) 900-4995

Organizations & group practices 7

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": "1723852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723852800000",
    "number": "1376375345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 NE 22ND ST",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730658300",
            "telephone_number": "405-996-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CEDAR LAKE BLVD STE 120",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731147815",
            "telephone_number": "405-445-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-17",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "219887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.