Mary M. Whitaker, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD1193 Issued in ID

Practice address

650 Memorial Drive
BLDG 68
Pocatello, ID 83209-0001

Phone

(208) 282-2190

NPI assigned

Jun 26, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Idaho State University

  • Community/Retail Pharmacy
  • McCammon, ID
  • NPI 1083393284
  NPD
• Idaho State University

  dba Idaho State University Speech & Hearing Clinic

  • Audiologist
  • Pocatello, ID
  • NPI 1952474777
  NPD

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497782577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 GLACIER ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012261",
            "telephone_number": "208-282-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MEMORIAL DRIVE",
            "address_2": "BLDG 68",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832090001",
            "telephone_number": "208-282-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "MARY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "ID",
            "license": "AUD1193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kami Anne Westover
• Stephanie Marie Westphal
• Jacquelyn Wheatley
• Kimberly D. Wheatley, PHARMD
• Nancy M. Wheeler, LCSW
• Christopher Jared White, LMSW
• Hannah June White
• Janean White, ELECTROLOGIST
• Kelley White
• Kevin White

• Audiologist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Audiologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.