Lynne Whiteside

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

2011007725 Issued in MO

Practice address

272 Coburg Dr
Saint Louis, MO 63137-3947

Phone

(314) 276-9957

NPI assigned

Sep 28, 2023

Last updated

Sep 28, 2023By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1528847456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 COBURG DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631373947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 COBURG DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631373947",
            "telephone_number": "314-276-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESIDE",
        "first_name": "LYNNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MO",
            "license": "2011007725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Aumiller Whiteley, LPC
• Ashley Nicole Whitelow
• Clarisa Whitener
• Karen L Whiteside, MD
• Leo A Whiteside, M.D.
• Benjamin Whitfield, MD
• Lakeelah Whitfield
• Shanika Whitfield
• Brianna Elys Whithorn, DO
• Aryn Kathleen Whiting, RN, AGPCNP-C

• Medical-Surgical Registered Nurse in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Medical-Surgical Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.