Elizabeth Ann Whitehurst

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

541879 Issued in TX

Practice address

3845 S Padre Island Dr
3533 South Alameda
Corpus Christi, TX 78415-2919

Phone

(361) 854-4626

Fax

(361) 851-5193

NPI assigned

Jan 5, 2010

Last updated

Jan 5, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1457681017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 ARANSAS ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111301",
            "telephone_number": "361-851-0848",
            "fax_number": "361-851-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 S PADRE ISLAND DR",
            "address_2": "3533 SOUTH ALAMEDA",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784152919",
            "telephone_number": "361-854-4626",
            "fax_number": "361-851-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHURST",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "TX",
            "license": "541879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Don White, PHARM.D
• Glenn Scott White, P.T.
• Joseph Griffin White, CRNA
• Misti Elise White
• Suzanne White, PA-C
• Owen Bradford Whitenburg, D.C.
• Julie Shepherd Whiteneck, MS, CCC-SLP
• Joseph E Whitfield Sr., P.A.
• Wholistic Care Counseling & Wellness, LLC
• Loren Sandra Mae Wicke

• Pediatric Clinical Nurse Specialist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Pediatric Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.