Active NPI
Donna Whitman, PA-C
- Physician Assistant
- Bozeman, MT
National Provider Identifier
1558375782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 164
- Practice address
- 115 W Cleveland St
Bozeman, MT 59715-5205 - Phone
- (406) 585-7539
- NPI assigned
- Jul 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 164 | MT | Primary |
| Physician Assistant | 363A00000X | 23-010594 | NY | |
| Physician Assistant | 363A00000X | PA2006-0032 | NM |
Addresses
Primary practice location
115 W Cleveland St
Bozeman, MT 59715-5205
Mailing address
115 W Cleveland St
Bozeman, MT 59715-5205
Phone (406) 585-7539
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 194 | MT | MD | Clinical Psychologist |
| PA2006-0032 | NM | MD | Physician Assistant |
| 23-010594 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Center Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558375782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W CLEVELAND ST",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597155205",
"telephone_number": "406-585-7539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W CLEVELAND ST",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597155205",
"telephone_number": "406-585-7539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITMAN",
"first_name": "DONNA",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "164",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "23-010594",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA2006-0032",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.