Witherspoon Mental Health and Wellness, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WITHERSPOON MENTAL HEALTH AND WELLNESS, PLLC

Practice address

610 Uptown Blvd Ste 2000
Cedar Hill, TX 75104-3528

Phone

(972) 716-2969

NPI assigned

Sep 7, 2019

Organization subpart

No

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

Authorized official

Name

Keisha Witherspoon, APRNNPI 1164974986

Title

Advanced Practice Nurse

Phone

(972) 716-2969

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keisha Witherspoon

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Hill, TX
  • NPI 1164974986
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1447809983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 UPTOWN BLVD STE 2000",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043528",
            "telephone_number": "972-716-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 UPTOWN BLVD STE 2000",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043528",
            "telephone_number": "972-716-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITHERSPOON MENTAL HEALTH AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-07",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "WITHERSPOON",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "ADVANCED PRACTICE NURSE",
        "authorized_official_telephone_number": "972-716-2969",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI2",
            "identifier": "1447809983",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erane Willis, FNP
• Ericka Danay Wilson
• Fayetta Renee Wilson
• Awhawanna Wenona Wise
• Michael Wistrom, DDS
• Keisha Witherspoon
• Erica Wood, CCC-SLP
• Woodus Obstetrics and Gynecology, PLLC
• Kenneth Yang, PT, DPT
• Yaw Safo M.D. PA

• Psychiatric/Mental Health Nurse Practitioner in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.