Whitney A Serafini, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

201606186NP-PP Issued in OR

Practice address

840 Royal Ave
Ste 110
Medford, OR 97504-6461

Phone

(541) 732-8360

Fax

(541) 732-8361

NPI assigned

Oct 6, 2016

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

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in OR

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

Credentials

Nurse Practitioner

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.

• Providence Health & Services - Oregon

  • Clinic/Center
  • Medford, OR
  • NPI 1093976243
  Medicare reassignment NPD
• Providence Health & Services Oregon

  • General Practice Physician
  • Lake Oswego, OR
  • NPI 1023488343
  Medicare reassignment NPD
• Providence Health & Services Oregon

  • Family Medicine Physician
  • Medford, OR
  • NPI 1568547503
  Medicare reassignment NPD
• Providence Health & Services - Oregon

  • Pediatrics Physician
  • Tigard, OR
  • NPI 1093135535
  NPD
• Providence Health & Services - Oregon

  • Multi-Specialty Clinic/Center
  • Ashland, OR
  • NPI 1174969778
  NPD
• Providence Health & Services - Oregon

  • Clinical Pathology Physician
  • Medford, OR
  • NPI 1285185942
  NPD
• Providence Health & Services - Oregon

  • Clinic/Center
  • Phoenix, OR
  • NPI 1992882500
  NPD
• Providence Health & Services Oregon

  • Psychiatry Physician
  • Portland, OR
  • NPI 1760177737
  NPD
• Providence Health & Services - Oregon

  • Internal Medicine Physician
  • Central Point, OR
  • NPI 1609951649
  NPD (past)

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1770033474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "541-732-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 ROYAL AVE",
            "address_2": "STE 110",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046461",
            "telephone_number": "541-732-8360",
            "fax_number": "541-732-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAFINI",
        "first_name": "WHITNEY",
        "middle_name": "A",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "201606186NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wserafini755483@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "840 Royal Ave",
            "address_2": "Ste 110",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975046461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wserafini755483@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "10830 Highway 62",
            "city": "Eagle Point",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975249516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wserafini755483@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1111 Crater Lake Ave",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975046241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Paul Sequeira
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• Rebecca Serra
• Julie Ann Serrano, RN
• Jennifer Lee Sertic, QMHA
• Pratibha Seshadri, M.D

• Pediatric Nurse Practitioner in Medford, OR
• Providers in Medford, OR by specialty
• Pediatric Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.