Individual provider Active NPI

Lisbeth Emge Whitledge, RN

  • Registered Nurse
  • Evansville, IN
National Provider Identifier
1437308103
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
28071790A Issued in IN
Practice address
2800 Kissel Rd
Evansville, IN 47720-7150
Phone
(812) 480-4301
Fax
(812) 963-1191
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28071790A IN Primary

Addresses

Primary practice location

2800 Kissel Rd
Evansville, IN 47720-7150

Mailing address

2800 Kissel Rd
Evansville, IN 47720-7150
Phone (812) 480-4301

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
28071790AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Raven Brust, Children'S Home Health Past Accepting new patients

Organizations & group practices 1

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": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1437308103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 KISSEL RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477207150",
            "telephone_number": "812-480-4301",
            "fax_number": "812-963-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 KISSEL RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477207150",
            "telephone_number": "812-480-4301",
            "fax_number": "812-963-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEDGE",
        "first_name": "LISBETH",
        "middle_name": "EMGE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28071790A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.