Kristin K Whitehead, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

218035 Issued in AZ

Practice address

10115 E Bell Rd # 107-234
Scottsdale, AZ 85260-2189

Phone

(888) 709-8721

Fax

(855) 916-1766

NPI assigned

Oct 10, 2018

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

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

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.

• Mobileonedocs, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Scottsdale, AZ
  • NPI 1629424379
  Medicare reassignment NPD
• Mobileonedocs, LLC

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1740858950
  NPD

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1740755388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 E BELL RD # 107-234",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602189",
            "telephone_number": "888-709-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 E BELL RD # 107-234",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602189",
            "telephone_number": "888-709-8721",
            "fax_number": "855-916-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "KRISTIN",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "218035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie White
• Michael R White, MD
• Ryan Earle White, OD
• Shelly Lewis White, MA, CCC-SLP
• Mary Helen Whited, M.D.
• Trudy Whitehurst
• Leslie Whiteley
• Yair Whiteman, DMD
• Brad Whitesel, CRNA
• Diane Whitesell, RN

• Family Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.

Verify at the official NPI Registry.