Active NPI
Stephanie R. Whitmer
- Case Manager/Care Coordinator
- Fort Defiance, VA
National Provider Identifier
1497561328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 1497561328
- Practice address
- 42 Bailey Rd
Fort Defiance, VA 24437-2067 - Phone
- (540) 448-3158
- NPI assigned
- Dec 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 0173829513 | VA | |
| Case Manager/Care Coordinator | 171M00000X | 1497561328 | VA | Primary |
Addresses
Primary practice location
42 Bailey Rd
Fort Defiance, VA 24437-2067
Mailing address
42 Bailey Rd
Fort Defiance, VA 24437-2067
Phone (540) 448-3158
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0173829513 | Medicaid | VA | |
| 1497561328 | Medicaid | VA |
Other names 1
- Essential Care Of Augusta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0173829513 | VA | MD | Case Manager/Care Coordinator |
| 1497561328 | VA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1497561328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 BAILEY RD",
"city": "FORT DEFIANCE",
"state": "VA",
"postal_code": "244372067",
"telephone_number": "540-448-3158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 BAILEY RD",
"city": "FORT DEFIANCE",
"state": "VA",
"postal_code": "244372067",
"telephone_number": "540-448-3158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITMER",
"first_name": "STEPHANIE",
"middle_name": "R.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-05",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "VA",
"license": "0173829513",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "VA",
"license": "1497561328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0173829513",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497561328",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ESSENTIAL CARE",
"last_name": "AUGUSTA",
"middle_name": "OF",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fort Defiance, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.