Individual provider Active NPI

Whitney Minter Harrell, FNP

  • Family Nurse Practitioner
  • South Boston, VA
National Provider Identifier
1619404282
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
000 Issued in VA
Practice address
1627 Seymour Dr
South Boston, VA 24592-3447
Phone
(276) 670-3300
NPI assigned
May 15, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170906003406 VA Practitioner - Nurse Practitioner 5193098572 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
000VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Access to Health Services Inc CurrentSince Oct 2, 2019 Accepting new patients
Piedmont Access to Health Services, Inc CurrentSince Oct 2, 2019 Accepting new patients
Piedmont Access to Health Services, Inc CurrentSince Oct 2, 2019 Accepting new patients
Piedmont Access to Health Services, Inc Current Accepting new patients

Locations

705 Main St
Danville, VA 24541
Phone (434) 791-4122

1627 Seymour Dr
Ste B
South Boston, VA 24592

1627 Seymour Dr
South Boston, VA 24592
Phone (434) 517-0611

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 000 VA Primary
Family Nurse Practitioner 363LF0000X 0024174968 VA

Addresses

NPPES NPI Registry

Primary practice location

1627 Seymour Dr
South Boston, VA 24592-3447

Mailing address

95 Minter Farm LN
Axton, VA 24054-3694
Phone (434) 688-8094

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0Other0

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address wharrell@pathsinc.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 30, 2019.

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1619404282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MINTER FARM LN",
            "city": "AXTON",
            "state": "VA",
            "postal_code": "240543694",
            "telephone_number": "434-688-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 SEYMOUR DR",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245923447",
            "telephone_number": "276-670-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "WHITNEY",
        "middle_name": "MINTER",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "000",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wharrell@pathsinc.org",
            "affiliation": "N",
            "address_1": "1627 Seymour Dr",
            "city": "South Boston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245923447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

Verify at the official NPI Registry.