Active NPI
Janel Fletcher Whidbee, MD
- Psychiatry Physician
- San Antonio, TX
National Provider Identifier
1518047752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- K5526
- Practice address
- 16019 Via Shavano
San Antonio, TX 78249-2370 - Phone
- (210) 696-9292
- Fax
- (210) 690-8815
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | K5526 | TX | Primary |
Addresses
Primary practice location
16019 Via Shavano
San Antonio, TX 78249-2370
Mailing address
16019 Via Shavano
San Antonio, TX 78249-2370
Phone (210) 696-9292
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204315427 | Other | TX | TRICARE/VALVE OPTIONS/MIL |
| 0022NK | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2018 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248998400000",
"number": "1518047752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16019 VIA SHAVANO",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782492370",
"telephone_number": "210-696-9292",
"fax_number": "210-690-8815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16019 VIA SHAVANO",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782492370",
"telephone_number": "210-696-9292",
"fax_number": "210-690-8815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHIDBEE",
"first_name": "JANEL",
"middle_name": "FLETCHER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2009-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "K5526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/VALVE OPTIONS/MIL",
"identifier": "204315427",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0022NK",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.