Christine A Whitaker, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201391304NP-PP Issued in OR

Practice address

2800 SW 257TH Ave
Troutdale, OR 97060-1803

Phone

(503) 667-7711

Fax

(503) 669-9908

NPI assigned

Mar 5, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1299283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1497053094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SW 257TH AVE",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "970601803",
            "telephone_number": "503-667-7711",
            "fax_number": "503-669-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SW 257TH AVE",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "970601803",
            "telephone_number": "503-667-7711",
            "fax_number": "503-669-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-05",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R46614",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201391304NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Elizabeth Goodwin Tyler, ND
• Timothy Lee Unger, R.N.
• Joanne S Vincent, PT
• Samantha E Vosika, PHARMD
• Walgreen Co
• Emily J White, CRT
• Kyra Wiens, DC
• Bonita Lagina Wilcox, ND
• Shellie Louise Williams, LMT
• Breanna Wilson, MS, RD, LD

• Family Nurse Practitioner in Troutdale, OR
• Providers in Troutdale, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.