Individual provider Active NPI

Whitney Marie Adelman, FNP, ARNP

  • Nurse Practitioner
  • Redding, CA
National Provider Identifier
1710420898
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95015729 Issued in CA
Practice address
2107 Airpark Dr
Redding, CA 96001-2433
Phone
(530) 241-1111
NPI assigned
Nov 22, 2016
Last updated
Mar 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95015729 CA Primary
Family Nurse Practitioner 363LF0000X AP10697 AZ
Registered Nurse 163W00000X RN210713 AZ
Registered Nurse 163W00000X RN60250763 WA

Addresses

Primary practice location

2107 Airpark Dr
Redding, CA 96001-2433

Mailing address

2107 Airpark Dr
Redding, CA 96001-2433
Phone (530) 241-1111

Other practice location 1

10238 E Hampton Ave Ste 404
Mesa, AZ 85209-3319
Phone (480) 771-7546

Other identifiers 1

IdentifierTypeStateIssuer
AP10697MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201029000992 CA Practitioner - Nurse Practitioner 6709145832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2107 Airpark Dr
Redding, CA 96001-2433
Phone (530) 241-1111

Merit-based Incentive Payment System (MIPS)

Final score
90.15 of 100Reported as group
Quality
96.26
Improvement activities
40
Cost
72.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60250763WAMDRegistered Nurse
95015729CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Dermatology Medical Group, Inc. CurrentSince Oct 23, 2020 Accepting new patients
Redding Dermatology Medical Group, Inc. CurrentSince Oct 23, 2020 Accepting new patients
Center for Dermatology, PLLC PastSince Jul 25, 2019 Accepting new patients

Locations

2107 Airpark Dr
Redding, CA 96001
Phone (530) 241-1111

2135 Airpark Dr
Ste A
Redding, CA 96001
Phone (530) 241-1111

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: wadelman@directaddress.net

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": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1710420898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 AIRPARK DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012433",
            "telephone_number": "530-241-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 AIRPARK DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012433",
            "telephone_number": "530-241-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10238 E Hampton Ave Ste 404",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852093319",
            "country_code": "US",
            "telephone_number": "480-771-7546",
            "fax_number": "480-779-1361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADELMAN",
        "first_name": "WHITNEY",
        "middle_name": "MARIE",
        "credential": "FNP, ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-22",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95015729",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10697",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN210713",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60250763",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AP10697",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.