Individual provider Active NPI

Connie S Whalley, FNP

  • School Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1780832808
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Nurse PractitionerTaxonomy code 363LS0200X
License
234184 Issued in CA
Practice address
1430 San Julian St
Nursing Services Building 2
Los Angeles, CA 90015-3142
Phone
(213) 765-2800
Fax
(213) 765-3861
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Nurse Practitioner 363LS0200X 234184 CA Primary

Addresses

Primary practice location

1430 San Julian St
Nursing Services Building 2
Los Angeles, CA 90015-3142

Mailing address

1430 San Julian St
Nursing Services Building 2
Los Angeles, CA 90015-3142
Phone (213) 765-2800

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

LicenseStateTypeSpecialty
234184CAMDSchool Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1780832808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 SAN JULIAN ST",
            "address_2": "NURSING SERVICES BUILDING 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153142",
            "telephone_number": "213-765-2800",
            "fax_number": "213-765-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 SAN JULIAN ST",
            "address_2": "NURSING SERVICES BUILDING 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153142",
            "telephone_number": "213-765-2800",
            "fax_number": "213-765-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALLEY",
        "first_name": "CONNIE",
        "middle_name": "S",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "CA",
            "license": "234184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.