Individual provider Active NPI

Heather Michelle Whitaker, FNP

  • Family Nurse Practitioner
  • Paris, TX
National Provider Identifier
1396210878
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
756722 Issued in TX
Practice address
1110 E Austin St
Paris, TX 75460-0411
Phone
(903) 784-1999
NPI assigned
Oct 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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 756722 TX Primary

Addresses

Primary practice location

1110 E Austin St
Paris, TX 75460-0411

Mailing address

1110 E Austin St
Paris, TX 75460-0411
Phone (903) 783-1999

Other practice location 1

1122 E Austin St
Paris, TX 75460-0411
Phone (903) 737-1913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20181119002045 TX Practitioner - Nurse Practitioner 9931453453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Kidney Disease and Dialysis Associates, PAGroup PAC ID 2860656600, 4 clinicians

Practice addresses (Care Compare)

870 NE Loop
Suite 286
Paris, TX 75460-2134
Phone (903) 784-4487

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
756722TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preston Family Medical Clinic Family CurrentSince Jun 8, 2026 Accepting new patients
Kidney Disease and Dialysis Associates, PA CurrentSince Oct 10, 2018 Accepting new patients

Locations

506 Texas Highway 37 S
Mt Vernon, TX 75457
Phone (903) 537-8222

520 N Collegiate Dr
Ste A
Paris, TX 75460
Phone (903) 784-1608

870 NE Loop 286
Paris, TX 75460
Phone (903) 784-4487

1122 E Austin St
Paris, TX 75460
Phone (903) 783-0500

Interoperability endpoints

  • Direct secure messaging: heather.whitaker@jabbar.ssdirect.aprima.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1396210878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E AUSTIN ST",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754600411",
            "telephone_number": "903-783-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E AUSTIN ST",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754600411",
            "telephone_number": "903-784-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1122 E Austin St",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TX",
            "postal_code": "754600411",
            "country_code": "US",
            "telephone_number": "903-737-1913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "HEATHER",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "756722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.