Jeannine Witham

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN36016 Issued in RI

Practice address

1170 Pontiac Ave
Cranston, RI 02920-7944

Phone

(401) 895-9937

NPI assigned

May 6, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jeannine Witham Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• South County Psychiatry LLC

  • Psychiatry Physician
  • North Kingstown, RI
  • NPI 1003454034
  NPD

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1679362453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029207944",
            "telephone_number": "401-895-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029207944",
            "telephone_number": "401-895-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHAM",
        "first_name": "JEANNINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN36016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNINE",
            "last_name": "WITHAM",
            "credential": "RN, BSN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Laurie A. Wilson, N.P.
• Windward Therapy LLC
• Miranda Renee Wing, APRN
• Jeffry Winters, MD
• Robert William Wishtischin, MSPT, SCS, ATC
• Within You Counseling LLC
• Jartu K Wleh, FNP
• Bonnie L Wolfe, MS, PT
• Robert Wolfgang, D.O.
• Timothy John Wood, CCC-SLP

• Registered Nurse in Cranston, RI
• Providers in Cranston, RI by specialty
• Registered Nurse in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.