Individual provider Active NPI

Jennifer Michelle Withee, FNP-C

  • Primary Care Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1790115905
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP5287 Issued in AZ
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170602002038 AZ Practitioner - Nurse Practitioner 8527335033 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP5287AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whispering Palms Medical Inc CurrentSince Apr 9, 2017 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.

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

Verify at the official NPI Registry.