Individual provider Active NPI

Kaycee Whatley, FNP-C

  • Family Nurse Practitioner
  • Hallsville, TX
National Provider Identifier
1831720374
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144831 Issued in TX
Practice address
302 S Central St Ste C8
Hallsville, TX 75650-6202
Phone
(903) 702-2977
Fax
(903) 309-1037
NPI assigned
Feb 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP144831 TX Primary

Addresses

Primary practice location

302 S Central St Ste C8
Hallsville, TX 75650-6202

Mailing address

302 S Central St Ste C8
Hallsville, TX 75650-6202
Phone (903) 702-2977

Other practice location 1

323 W Hawkins Parkway
Longview, TX 75605
Phone (903) 758-2746 ext. 264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200331003809 TX Practitioner - Nurse Practitioner 4880023571 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Texas Emergency Physicians PLLCGroup PAC ID 8527420306, 195 clinicians

Practice addresses (Care Compare)

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP144831TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Longview Orthopaedic Clinic Association CurrentSince Jan 28, 2020 Accepting new patients
Lone Star Medical Therapy PLLC Family CurrentSince Jul 13, 2025 Accepting new patients
Northeast Texas Emergency Physicians, PLLC CurrentSince Oct 1, 2023 Accepting new patients
Acs Primary Care Physicians Southwest, PA Family CurrentSince Aug 1, 2021 Accepting new patients

Locations

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

302 S Central St
Hallsville, TX 75650
Phone (903) 245-7701

302 S Central St
Ste C8
Hallsville, TX 75650
Phone (903) 702-2977

323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

323 E Hawkins Pkwy
Ste A
Longview, TX 75605
Phone (903) 758-2746

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1831720374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S CENTRAL ST STE C8",
            "city": "HALLSVILLE",
            "state": "TX",
            "postal_code": "756506202",
            "telephone_number": "903-702-2977",
            "fax_number": "903-309-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S CENTRAL ST STE C8",
            "city": "HALLSVILLE",
            "state": "TX",
            "postal_code": "756506202",
            "telephone_number": "903-702-2977",
            "fax_number": "903-309-1037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 W Hawkins Parkway",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "75605",
            "country_code": "US",
            "telephone_number": "903-758-2746 x264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHATLEY",
        "first_name": "KAYCEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallsville, TX

Sources for this page

Verify at the official NPI Registry.