Active NPI
Jamie Witherspoon
- Attendant Care Provider
- Fort Wayne, IN
National Provider Identifier
1578446282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- License
- 300104890
- Practice address
- 3322 Inwood Dr
Fort Wayne, IN 46815-5912 - Phone
- (260) 438-8443
- Fax
- (260) 438-8443
- NPI assigned
- Jul 29, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | 300104890 | IN | Primary |
Addresses
Primary practice location
3322 Inwood Dr
Fort Wayne, IN 46815-5912
Mailing address
3322 Inwood Dr
Fort Wayne, IN 46815-5912
Phone (260) 438-8443
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300104890 | IN | MD | Attendant Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1578446282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3322 INWOOD DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468155912",
"telephone_number": "260-438-8443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3322 INWOOD DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468155912",
"telephone_number": "260-438-8443",
"fax_number": "260-438-8443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITHERSPOON",
"first_name": "JAMIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-29",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": "IN",
"license": "300104890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.