Individual provider Active NPI

Stephanie R. Whitmer

  • Case Manager/Care Coordinator
  • Fort Defiance, VA
National Provider Identifier
1497561328
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
1497561328 Issued in VA
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

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0173829513MedicaidVA
1497561328MedicaidVA

Other names 1

  • Essential Care Of Augusta Professional name

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

LicenseStateTypeSpecialty
0173829513VAMDCase Manager/Care Coordinator
1497561328VAMDCase 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.

Verify at the official NPI Registry.