Individual provider Active NPI

Patricia A. Whittles, R.N.

  • College Health Registered Nurse
  • College Park, MD
National Provider Identifier
1841415569
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
College Health Registered NurseTaxonomy code 163WC1400X
License
R115344 Issued in MD
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
R115344MDMDCollege 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

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.

Verify at the official NPI Registry.