Latonya Whitley, DNP, MHA, MS

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R1585841 Issued in MN

Practice address

17650 134TH Ave SE
S201
Renton, WA 98058-6889

Phone

(612) 701-4301

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDHIBD

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.

• Open Cities Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • St. Paul, MN
  • NPI 1225101405
  NPD (past)
• Open Cities Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Saint Paul, MN
  • NPI 1538037619
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1477645976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 MARYLAND AVE W",
            "address_2": "APT 208",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551174160",
            "telephone_number": "612-701-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17650 134TH AVE SE",
            "address_2": "S201",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980586889",
            "telephone_number": "612-701-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "LATONYA",
        "credential": "DNP, MHA, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R1585841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "642452000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Jean White, R.D.
• Erin White, DPT, PT
• Rebecca White, LMSW
• George Whiteman, DPT
• Donald Whitfield, MA61003748
• Karena Lynn Whitworth, MD
• Whole Body Holistic, LLC
• Lara D Whorley, ARNP
• Why'S Words, LLC
• Marianne Wick, PT

• Nurse Practitioner in Renton, WA
• Providers in Renton, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.