Tracy Whitman, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

SP019920 Issued in PA

Practice address

700 Quincy Ave
Scranton, PA 18510-1724

Phone

(866) 519-0457

Fax

(570) 770-5263

NPI assigned

May 17, 2019

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  Medicare reassignment NPD
• Scranton Quincy Clinic Company LLC

  • Family Medicine Physician
  • Scranton, PA
  • NPI 1508143074

  Pediatrics

  Medicare reassignment NPD
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD
• Geisinger Clinic

  • Hematology & Oncology Physician
  • Danville, PA
  • NPI 1932150331
  NPD
• Scranton Quincy Clinic Company LLC

  • Infectious Disease Physician
  • Scranton, PA
  • NPI 1528345931
  NPD

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1437715281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ALPHA CT",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081603",
            "telephone_number": "570-840-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 QUINCY AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101724",
            "telephone_number": "866-519-0457",
            "fax_number": "570-770-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "TRACY",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP019789",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP019920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1036780850001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1036780850002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yamesha D Wheeler
• Mindy A White, MS
• Shyanna Marie White
• Vanessa Leigh White, LPC
• Anja Whitehead, MS
• Wholistic Counseling Services, Inc
• Joseph R. Wideman, M.S., C.A.C., L.P.C.
• Skyler Ann Wilcha, PA-C
• Natalie Marie Wilchinski, PAC
• Brian D Wilcox, MD

• Pediatric Nurse Practitioner in Scranton, PA
• Providers in Scranton, PA by specialty
• Pediatric Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.