Active NPI
Stephanie Karam Whitmer
- Family Nurse Practitioner
- College Station, TX
National Provider Identifier
1770284580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1113075
- Practice address
- 4030 State Highway 6 S Ste 110
College Station, TX 77845-1805 - Phone
- (979) 255-0074
- NPI assigned
- Mar 17, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1113075 | TX | Primary |
Addresses
Primary practice location
4030 State Highway 6 S Ste 110
College Station, TX 77845-1805
Mailing address
4030 State Highway 6 S Ste 110
College Station, TX 77845-1805
Other practice location 1
3106 Texas Ave S
College Station, TX 77845-5050
Phone (979) 985-5489
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 |
|---|---|---|---|
| 1113075 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Spine and Pain Associates Brazos Valley PLLC | Past | 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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- College Station, TX
- NPI 1568108249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1770284580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 STATE HIGHWAY 6 S STE 110",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778451805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4030 STATE HIGHWAY 6 S STE 110",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778451805",
"telephone_number": "979-255-0074"
}
],
"practiceLocations": [
{
"address_1": "3106 Texas Ave S",
"address_purpose": "LOCATION",
"city": "College Station",
"state": "TX",
"postal_code": "778455050",
"country_code": "US",
"telephone_number": "979-985-5489",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITMER",
"first_name": "STEPHANIE",
"middle_name": "KARAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-17",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1113075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.