Active NPI
Patricia A. Whittles, R.N.
- College Health Registered Nurse
- College Park, MD
National Provider Identifier
1841415569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- College Health Registered Nurse
- License
- R115344
- Practice address
- 140 Campus Dr
College Park, MD 20742-0001 - Phone
- (301) 314-8157
- Fax
- (301) 405-9755
- NPI assigned
- Apr 16, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| College Health Registered Nurse | 163WC1400X | R115344 | MD | Primary |
Addresses
Primary practice location
140 Campus Dr
College Park, MD 20742-0001
Mailing address
6702 Walker Branch Dr
Laurel, MD 20707-3246
Phone (301) 498-2312
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R115344 | MD | MD | College Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841415569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6702 WALKER BRANCH DR",
"city": "LAUREL",
"state": "MD",
"postal_code": "207073246",
"telephone_number": "301-498-2312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 CAMPUS DR",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207420001",
"telephone_number": "301-314-8157",
"fax_number": "301-405-9755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTLES",
"first_name": "PATRICIA",
"middle_name": "A.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, College Health",
"state": "MD",
"license": "R115344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Park, MD
- Wellnes Healthcare Marketing Inc (Hollywood Pharmacy)
- Wellspring Therapy Services
- Jessica Moore Wertz, MA, CCC-SLP
- White Lotus Wellness Center, LLC
- Jonathan David White, LCSW-C
- Kathleen Faith Wiersema, LCPC
- Emmanuel M Williams
- Johnny Emmanuel Williams
- Karl S Williams Jr., SA
- Ladonna Tyrina Winnegan, LCSW-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.