Jack Henry Whitehead

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

12703 W 131St St
Overland Park, KS 66213-5017

Phone

(913) 754-6839

NPI assigned

Feb 27, 2026

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1508711243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12703 W 131ST ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662135017",
            "telephone_number": "913-754-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12703 W 131ST ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662135017",
            "telephone_number": "913-754-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "JACK",
        "middle_name": "HENRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon White
• Stephanie A White, CRNA
• Zoey Marie White, LSCSW
• Victoria M Whitebread
• Gary Michael Whitehead, D.C.
• Karen Ann Whitehead, P.T.
• Sarah Madison Whitehurst
• Kenneth Whiteside, LCPC
• Angela Whitlock, PTA
• Whitmore Chiropractic, LLC

• Athletic Trainer in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Athletic Trainer in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.