Individual provider Active NPI

Devin Miles Whitehead, APRN

  • Nurse Practitioner
  • Richmond, KY
National Provider Identifier
1639558083
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3009392 Issued in KY
Practice address
858 Eastern Byp
Richmond, KY 40475-2512
Phone
(859) 626-0072
Fax
(859) 626-9684
NPI assigned
May 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3009392 KY Primary
Family Nurse Practitioner 363LF0000X 3009392 KY

Addresses

Primary practice location

858 Eastern Byp
Richmond, KY 40475-2512

Mailing address

858 Eastern Byp
Richmond, KY 40475-2512
Phone (859) 626-0072

Other identifiers 1

IdentifierTypeStateIssuer
7100388860MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20151120000992 KY Practitioner - Nurse Practitioner 5092015263 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fuse MedicalGroup PAC ID 5294134938, 2 clinicians

Practice addresses (Care Compare)

202 W 7TH St
Suite 110
London, KY 40741-1763
Phone (606) 770-5161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3009392KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Urgent Care PLLC Nurse Practitioner CurrentSince Sep 9, 2015 Accepting new patients
Berea Urgent Care LLC Nurse Practitioner CurrentSince Sep 9, 2015 Accepting new patients
Fuse Medical Nurse Practitioner CurrentSince Apr 11, 2021 Accepting new patients
Georgetown Urgent Care PLLC Nurse Practitioner CurrentSince Sep 9, 2015 Accepting new patients

Locations

234 Brenwood St
Berea, KY 40403
Phone (859) 985-0302

111 Osborne Way
#101
Georgetown, KY 40324
Phone (859) 466-8956

1701 Nicholasville Rd
Ste 100
Lexington, KY 40503
Phone (859) 466-8956

43 Waco Dr
London, KY 40741
Phone (606) 770-5161

858 Eastern Byp
Richmond, KY 40475
Phone (859) 626-0072

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1639558083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 EASTERN BYP",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752512",
            "telephone_number": "859-626-0072",
            "fax_number": "859-626-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 EASTERN BYP",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752512",
            "telephone_number": "859-626-0072",
            "fax_number": "859-626-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "DEVIN",
        "middle_name": "MILES",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-19",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009392",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009392",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100388860",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.