Individual provider Active NPI

Whitney Kay Prater, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Flint, TX
National Provider Identifier
1659962645
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1018959 Issued in TX
Practice address
10241 County Road 1230
Flint, TX 75762-3800
Phone
(936) 590-0355
NPI assigned
Feb 1, 2021
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1018959 TX Primary

Addresses

Primary practice location

10241 County Road 1230
Flint, TX 75762-3800

Mailing address

10241 County Road 1230
Flint, TX 75762-3800
Phone (936) 590-0355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210405000988 TX Practitioner - Nurse Practitioner 4981011293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

409 N 6TH St
Longview, TX 75601-6536
Phone (903) 501-1747

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1018959TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Special Health Resources for Texas, Incorporated Current Accepting new patients
Special Health Resources for Texas, Incorporated CurrentSince Jun 30, 2023 Accepting new patients
Special Health Resources for Texas, Incorporated CurrentSince Jun 30, 2023 Accepting new patients

Locations

2030 S High St
Longview, TX 75602
Phone (903) 234-0936

409 N 6th St
Longview, TX 75601
Phone (903) 315-5520

410 N 4th St
Longview, TX 75601
Phone (903) 234-8808

1300 Clinic Dr
Tyler, TX 75701
Phone (903) 597-7558

4519 Troup Hwy
Tyler, TX 75703
Phone (903) 289-9252

Interoperability endpoints

  • Direct secure messaging: whitney.prater@wchcl.eclinicaldirectplus.com

Organizations & group practices 3

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": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1659962645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10241 COUNTY ROAD 1230",
            "city": "FLINT",
            "state": "TX",
            "postal_code": "757623800",
            "telephone_number": "936-590-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10241 COUNTY ROAD 1230",
            "city": "FLINT",
            "state": "TX",
            "postal_code": "757623800",
            "telephone_number": "936-590-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "WHITNEY",
        "middle_name": "KAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1018959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, TX

Sources for this page

Verify at the official NPI Registry.