Donna Marie Kenner- Whitaker, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP015933 Issued in PA

Practice address

5040 City Line Ave
Philadelphia, PA 19131

Phone

(215) 877-2116

NPI assigned

Nov 4, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1780126938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 LANTERN LANE",
            "city": "ORELAND",
            "state": "PA",
            "postal_code": "19075",
            "telephone_number": "267-626-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 CITY LINE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19131",
            "telephone_number": "215-877-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNER- WHITAKER",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila M. Kennedy, PH.D.
• Sherrell Kennedy
• Tara Kennedy, MD
• Uchenna Katharina Kennedy, M.D.
• Regina Bridget Kennelly, MD
• Melisa Rosita Kenner, CRNP, PMHNP
• Paula Nadine Kenner, CERTIFIED HAIR LOSS
• Kenneth E Wasserman MD PC
• Kenneth J Soapes, D.M.D & Associate
• Kenneth L. Kershbaum MD, Facc ,LLC

• Family Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, 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 Nov 4, 2016; 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.