Active NPI
Anita Whitaker, NP
- Nurse Practitioner
- Hughson, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP2398
- Practice address
- 2412 3Rd Street
Hughson, CA 95326 - Phone
- (209) 558-7250
- NPI assigned
- Apr 11, 2006
- Last updated
- Jul 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP2398 | CA | Primary |
Addresses
Primary practice location
2412 3Rd Street
Hughson, CA 95326
Mailing address
917 Oakdale Rd
Modesto, CA 95355-4593
Phone (209) 558-7248
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP2398 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lumira Healthcare | Current | Accepting new patients | |
| Lumira Healthcare | Current | Accepting new patients | |
| Lumira Healthcare | Current | Accepting new patients | |
| Lumira Healthcare | Past | Accepting new patients | |
| County of Stanislaus | Past | Accepting new patients | |
| Lumira Healthcare | Past | Accepting new patients |
Locations
16233 King St
Delhi, CA 95315
Phone (833) 850-3500
7970 Lander Ave
Ste Ab
Hilmar, CA 95324
Phone (209) 262-1819
2412 3rd St
Hughson, CA 95326
Phone (209) 558-7250
1140 Main St
Livingston, CA 95334
Phone (209) 394-7913
1617 Main St
Livingston, CA 95334
Phone (209) 850-2003
600 B St
Livingston, CA 95334
Phone (833) 850-3500
600 B St
Ste B
Livingston, CA 95334
12619 Bentley St
Waterford, CA 95386
Phone (209) 442-6200
Interoperability endpoints
- anita.whitaker.p3@direct.livingstoncommunity.nextgenshare.com
Organizations & group practices 6
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.
-
dba Livingston Campus Center
- Federally Qualified Health Center (FQHC)
- Livingston, CA
- NPI 1427110329
-
dba Livingston Wolves Center
- Federally Qualified Health Center (FQHC)
- Livingston, CA
- NPI 1487012779
-
dba Modesto Florida Ave Center
- Federally Qualified Health Center (FQHC)
- Modesto, CA
- NPI 1649099151
-
dba Stanislaus County Health Services Agency Hughson Medical Office
- Rural Health Clinic/Center
- Hughson, CA
- NPI 1366648016
-
dba Hughson 3rd St Center
- Federally Qualified Health Center (FQHC)
- Hughson, CA
- NPI 1508408550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1720041494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 OAKDALE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554593",
"telephone_number": "209-558-7248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2412 3RD STREET",
"city": "HUGHSON",
"state": "CA",
"postal_code": "95326",
"telephone_number": "209-558-7250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "ANITA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP2398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hughson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.