Active NPI
Johnnie B Whited, CRNP
- Neonatal Nurse Practitioner
- Birmingham, AL
National Provider Identifier
1376881664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 1-022427
- Practice address
- 701 Princeton Ave SW
Birmingham, AL 35211-1303 - Phone
- (205) 783-3260
- Fax
- (205) 783-7252
- NPI assigned
- Jan 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 1-022427 | AL | Primary |
Addresses
Primary practice location
701 Princeton Ave SW
Birmingham, AL 35211-1303
Mailing address
701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 783-3260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-022427 | AL | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1376881664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 PRINCETON AVE SW",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35211",
"telephone_number": "205-783-3260",
"fax_number": "205-783-7252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 PRINCETON AVE SW",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111303",
"telephone_number": "205-783-3260",
"fax_number": "205-783-7252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITED",
"first_name": "JOHNNIE",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-22",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "AL",
"license": "1-022427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.