Lesa Colleen Whitehead, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R853722 Issued in MS

Practice address

434 N Captain Gloster Dr
Gloster, MS 39638-3401

Phone

(601) 225-4711

Fax

(601) 225-7861

NPI assigned

Jan 27, 2012

Last updated

Jan 27, 2012By the provider in NPPES

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 MS, MT, LA3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hulin Urgent Care Services LLCGroup PAC ID 6800051285, 135 clinicians

Culbertson Froid Bainville Health Care CorporationGroup PAC ID 3173425436, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Roosevelt Medical Center Hospital, Culbertson, MT, CCN 271308
• Sidney Health Center Hospital, Sidney, MT, CCN 271344
• Roosevelt Medical Center Nursing home, CCN 27Z308

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lesa.whitehead.1@18760.direct.athenahealth.com

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.

• Culbertson Froid Bainville Health Care Corporation

  dba Roosevelt Medical Center

  • Critical Access Hospital
  • Culbertson, MT
  • NPI 1598874232
  Medicare reassignment Care Compare group NPD
• Hulin Urgent Care Services LLC

  dba SouthStar Urgent Care

  • Urgent Care Clinic/Center
  • New Iberia, LA
  • NPI 1699049262
  Medicare reassignment Care Compare group
• App of Mississippi Ed, LLC

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1730687740
  Medicare reassignment NPD
• Field Memorial Community Hospital

  dba Catchings Clinic

  • Rural Health Clinic/Center
  • Woodville, MS
  • NPI 1881648376
  Medicare reassignment NPD
• Magee Benevolent Association

  dba the medical pavilion

  • Family Nurse Practitioner
  • Raleigh, MS
  • NPI 1225157258
  Medicare reassignment NPD
• South Sunflower County Hospital

  • General Acute Care Hospital
  • Indianola, MS
  • NPI 1184679292
  Medicare reassignment NPD
• County of Garfield

  dba Garfield County Clinic

  • Rural Health Clinic/Center
  • Jordan, MT
  • NPI 1427508365
  Medicare reassignment NPD
• Whitehead Wound Care PLLC

  • Family Nurse Practitioner
  • Brookhaven, MS
  • NPI 1225516354
  NPD Authorized official
• Coastal Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Gonzales, LA
  • NPI 1568601425
  Medicare reassignment
• Field Memorial Community Hospital

  dba Field Health System

  • Critical Access Hospital
  • Centreville, MS
  • NPI 1871633347
  NPD
• King's Daughters Medical Center

  dba King's Daughters Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Brookhaven, MS
  • NPI 1881476364
  NPD
• King's Daughters Medical Center

  • General Acute Care Hospital
  • Brookhaven, MS
  • NPI 1972503464
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Culbertson Froid Bainville Health Care Corporation

  dba Roosevelt Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Culbertson, MT
  • NPI 1497865026

  Nursing home

  Care Compare affiliation
• Culbertson Froid Bainville Health Care Corporation

  dba Roosevelt Medical Center

  • Critical Access Hospital
  • Culbertson, MT
  • NPI 1598874232
  Care Compare affiliation
• Sidney Health Center

  • Critical Access Hospital
  • Sidney, MT
  • NPI 1285719161
  Care Compare affiliation

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1750653382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "CENTREVILLE",
            "state": "MS",
            "postal_code": "396310639",
            "telephone_number": "601-645-5221",
            "fax_number": "601-645-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 N CAPTAIN GLOSTER DR",
            "city": "GLOSTER",
            "state": "MS",
            "postal_code": "396383401",
            "telephone_number": "601-225-4711",
            "fax_number": "601-225-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "LESA",
        "middle_name": "COLLEEN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R853722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Care Transportation Group of Mississippi LLC
• Keisha Norman
• RKM Primary
• Linda McLain Sterling, SLP
• Vitacare Health & Family Services
• Kristen Womack, NP-C

• Family Nurse Practitioner in Gloster, MS
• Providers in Gloster, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.