Individual provider Active NPI

Lena Lee Whisenhunt, MSN, RN FNP-BC

  • Family Nurse Practitioner
  • Wise, VA
National Provider Identifier
1669824736
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174018 Issued in VA
Practice address
9434 Coeburn Mountain Rd
Wise, VA 24293-5944
Phone
(276) 328-2721
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024174018 VA Primary

Addresses

Primary practice location

9434 Coeburn Mountain Rd
Wise, VA 24293-5944

Mailing address

4294 Carter Stanley Hwy
MC Clure, VA 24269-7007
Phone (276) 275-4630

Other identifiers 1

IdentifierTypeStateIssuer
1669824736MedicaidVA

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)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
0024174018VAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669824736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4294 CARTER STANLEY HWY",
            "city": "MC CLURE",
            "state": "VA",
            "postal_code": "242697007",
            "telephone_number": "276-275-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9434 COEBURN MOUNTAIN RD",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242935944",
            "telephone_number": "276-328-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHISENHUNT",
        "first_name": "LENA",
        "middle_name": "LEE",
        "credential": "MSN, RN  FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669824736",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wise, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.