Funmilayo Jennifer Whitaker, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP016195 Issued in PA

Practice address

833 Hillbrook LN
Langhorne, PA 19047-8510

Phone

(484) 645-0831

Fax

(215) 757-2506

NPI assigned

Nov 14, 2009

Last updated

Jun 29, 2016By 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 6

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wagner Medical PCGroup PAC ID 3476082660, 13 clinicians

Newpoint Healthcare Services LLCGroup PAC ID 4587049036, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Newpoint Healthcare Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairless Hills, PA
  • NPI 1922750736

  NJ

  Medicare reassignment Care Compare group NPD Authorized official
• Wagner Medical PC

  dba SonderMind

  • Clinical Social Worker
  • Toms River, NJ
  • NPI 1235951187
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group of New Jersey PC

  • Mental Health Counselor
  • Hoboken, NJ
  • NPI 1841949328
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  PA

  Medicare reassignment NPD
• South Jersey Behavioral Health Resources Incorporated

  • Community/Behavioral Health Agency
  • Camden, NJ
  • NPI 1255491718
  Medicare reassignment NPD
• Valiquet Healthcare Services

  • Home Health Agency
  • Langhorne, PA
  • NPI 1508289935
  NPD (past) Authorized official

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

{
    "created_epoch": "1258156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1760719512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 HILLBROOK LN",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478510",
            "telephone_number": "484-645-0831",
            "fax_number": "215-757-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 HILLBROOK LN",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478510",
            "telephone_number": "484-645-0831",
            "fax_number": "215-757-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "FUNMILAYO",
        "middle_name": "JENNIFER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-14",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016195",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00646400",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN601756",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR14649300",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN215138",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "696315",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whalen & McElmoyle Family Medicne, LLC
• Ashton Whalen
• Whcgpa Women's Health Care Associates of Bucks County
• Jennifer R. Wheeler, LMT
• John Taylor Wheeler, PA-C
• Jonathan David White, D.O.
• Meghan White, BSW
• Melissa Marie White, MS, OTR/L
• Mary Jane Whiteley, LPC
• Rachel Wikel, OTD, OTR/L

• Family Nurse Practitioner in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.