Active NPI
Carla Whitfield, FNP-BC
- Family Nurse Practitioner
- Lumberton, MS
National Provider Identifier
1831149947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R714232
- Practice address
- 598 W 11TH Ave
Lumberton, MS 39455-2350 - Phone
- (601) 545-8700
- Fax
- (601) 582-5461
- NPI assigned
- May 11, 2006
- Last updated
- Jul 7, 2011
- 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 | R714232 | MS | Primary |
Addresses
Primary practice location
598 W 11TH Ave
Lumberton, MS 39455-2350
Mailing address
PO Box 1729
Hattiesburg, MS 39403-1729
Phone (601) 545-8700
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29391 S | Other | MS | HUMANA/TRICARE |
| 00201796 | Medicaid | MS | |
| 8208387P01 | Other | MS | CIGNA |
| 1144085 | Other | MS | WINDSOR HEALTH GROUP |
| 7484916 | Other | MS | AETNA |
| P00726914 | Other | MS | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R714232 | MS | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1831149947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1729",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394031729",
"telephone_number": "601-545-8700",
"fax_number": "601-582-5461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "598 W 11TH AVE",
"city": "LUMBERTON",
"state": "MS",
"postal_code": "394552350",
"telephone_number": "601-545-8700",
"fax_number": "601-582-5461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITFIELD",
"first_name": "CARLA",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R714232",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA/TRICARE",
"identifier": "29391 S",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00201796",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8208387P01",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WINDSOR HEALTH GROUP",
"identifier": "1144085",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7484916",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00726914",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lumberton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.