Whitaker Direct Primary Care, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WHITAKER DIRECT PRIMARY CARE, LLC

Practice address

401 N Main St
Arcanum, OH 45304-1332

Phone

(937) 662-0191

Fax

(937) 662-0199

NPI assigned

Oct 9, 2024

Last updated

Oct 9, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abby Whitaker, APRN-CNPNPI 1215120936

Title

Owner

Phone

(937) 662-0191

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abby Marie Whitaker, APRN-CNP

  • Family Nurse Practitioner
  • Arcanum, OH
  • NPI 1215120936
  NPD Authorized official

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1609695378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N MAIN ST",
            "city": "ARCANUM",
            "state": "OH",
            "postal_code": "453041332",
            "telephone_number": "937-662-0191",
            "fax_number": "937-662-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N MAIN ST",
            "city": "ARCANUM",
            "state": "OH",
            "postal_code": "453041332",
            "telephone_number": "937-662-0191",
            "fax_number": "937-662-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITAKER DIRECT PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-662-0191",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Elaine Utley
• Harlee Elaine Utley
• Heather Weaver
• Stormy Weaver
• Kristina Marie Weireter
• Abby Marie Whitaker, APRN-CNP
• Heather Jenee Wogomon, RN
• Heidi R Yount, MD

• Family Nurse Practitioner in Arcanum, OH
• Providers in Arcanum, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.