Active NPI
Naomi A Whisenton, FNP
- Family Nurse Practitioner
- Conshohocken, PA
National Provider Identifier
1730133877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN066870
- Practice address
- 161 Washington St
Suite 1400 Eight Tower Bridge
Conshohocken, PA 19428-2083 - Phone
- (484) 351-3218
- Fax
- (484) 351-3800
- NPI assigned
- May 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN066870 | MO | Primary |
Addresses
Primary practice location
161 Washington St
Suite 1400 Eight Tower Bridge
Conshohocken, PA 19428-2083
Mailing address
14 Oakshire CT
Attn: Credentialing
Saint Peters, MO 63376-3005
Phone (314) 348-6133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 423916303 | Medicaid | MO |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN066870 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of St Louis Division of Fiscal Management | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Berkeley, MO
- NPI 1184519506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1730133877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 OAKSHIRE CT",
"address_2": "ATTN: CREDENTIALING",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633763005",
"telephone_number": "314-348-6133",
"fax_number": "636-447-6214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 WASHINGTON ST",
"address_2": "SUITE 1400 EIGHT TOWER BRIDGE",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282083",
"telephone_number": "484-351-3218",
"fax_number": "484-351-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHISENTON",
"first_name": "NAOMI",
"middle_name": "A",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "RN066870",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "423916303",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conshohocken, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.