Active NPI
Jennifer Michelle Withee, FNP-C
- Primary Care Nurse Practitioner
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP5287
- Practice address
- 2127 E Baseline Rd Ste 107
Tempe, AZ 85283-1537 - Phone
- (480) 897-7070
- Fax
- (844) 563-8236
- NPI assigned
- Nov 25, 2013
- Last updated
- Oct 3, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP5287 | AZ | |
| Primary Care Nurse Practitioner | 363LP2300X | AP5287 | AZ | Primary |
Addresses
Primary practice location
2127 E Baseline Rd Ste 107
Tempe, AZ 85283-1537
Mailing address
2127 E Baseline Rd Ste 107
Tempe, AZ 85283-1537
Phone (480) 897-7070
Other practice location 1
2550 E Guadalupe Rd
Gilbert, AZ 85234-5114
Phone (480) 964-5800 ext. 205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP5287 | AZ | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whispering Palms Medical Inc | Current | Accepting new patients |
Locations
1108 W Indian School Rd
Ste B
Phoenix, AZ 85013
Phone (602) 773-5600
12020 S Warner Elliot Loop
Ste 101
Phoenix, AZ 85044
Phone (480) 496-9400
8618 N 35th Ave
Ste 3
Phoenix, AZ 85051
Phone (602) 249-0999
14827 W Bell Rd
Ste 103
Surprise, AZ 85374
Phone (623) 544-3522
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba BritePath Medical
- Family Medicine Physician
- Phoenix, AZ
- NPI 1821314998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1790115905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2127 E BASELINE RD STE 107",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852831537",
"telephone_number": "480-897-7070",
"fax_number": "844-563-8236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2127 E BASELINE RD STE 107",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852831537",
"telephone_number": "480-897-7070",
"fax_number": "844-563-8236"
}
],
"practiceLocations": [
{
"address_1": "2550 E Guadalupe Rd",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852345114",
"country_code": "US",
"telephone_number": "480-964-5800 x205",
"fax_number": "480-632-5923",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WITHEE",
"first_name": "JENNIFER",
"middle_name": "MICHELLE",
"name_prefix": "Miss",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-25",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP5287",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "AZ",
"license": "AP5287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.