Active NPI
Kaitlyn Danielle Whitmore
- Registered Nurse
- Clinton TWP, MI
National Provider Identifier
1750029542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704362500
- Practice address
- 35640 Willis CT
Clinton TWP, MI 48035-2890 - Phone
- (313) 942-0048
- NPI assigned
- May 23, 2022
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704362500 | MI | Primary |
Addresses
Primary practice location
35640 Willis CT
Clinton TWP, MI 48035-2890
Mailing address
35640 Willis CT
Clinton TWP, MI 48035-2890
Phone (313) 942-0048
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704362500 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abasiama Jimmy | Current | 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.
-
- Nurse's Aide
- Silver Spring, MD
- NPI 1639808843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1750029542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35640 WILLIS CT",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480352890",
"telephone_number": "313-942-0048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35640 WILLIS CT",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480352890",
"telephone_number": "313-942-0048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITMORE",
"first_name": "KAITLYN",
"middle_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-23",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704362500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.