Scott Bernard Whittaker, LMP, RC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00018246 Issued in WA

Practice address

262 Winslow Way E
Bainbridge Island, WA 98110-2430

Phone

(206) 852-2572

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760417182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10930",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981100930",
            "telephone_number": "206-852-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 WINSLOW WAY E",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102430",
            "telephone_number": "206-852-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "SCOTT",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "credential": "LMP, RC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00018246",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "RC00047268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane C Whitaker, M.D.
• Kevin Allen Whitaker, PHARM D
• White Pine Physical Therapy PLLC
• Danelle Whitmore, MA, LMFTA
• Lauren Whittaker, DC
• Wicklund Dental,
• Lance F Wicklund, DMD
• Sandra K Wieland, PHD, ARNP
• Wild Foxgloves Counseling, PLLC
• Margaret Ann Wilder, LMP

• Specialist in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.