Individual provider Active NPI

Jennifer Lindsay Whitmore, D.O.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1841566023
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO2579 Issued in NV
Practice address
321 N Nellis Blvd Ste 110
Las Vegas, NV 89110-5416
Phone
(702) 438-4003
Fax
(702) 438-0555
NPI assigned
Apr 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0102203793 VA
Internal Medicine Physician 207R00000X DO2579 NV Primary

Addresses

Primary practice location

321 N Nellis Blvd Ste 110
Las Vegas, NV 89110-5416

Mailing address

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346

Other identifiers 3

IdentifierTypeStateIssuer
1841566023MedicaidNV
DO2579OtherNVSTATE LICENSE
0102203793OtherVAVIRGINIA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191016001578 NV Practitioner - Internal Medicine 8022257666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Kansas City College of Medicine and Surgery, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

321 N Nellis Blvd
Suite 110
Las Vegas, NV 89110-5416
Phone (702) 438-4003

Hospital & facility affiliations

  • Brighton Hospice Hospice, Las Vegas, NV, CCN 291553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO2579NVMDInternal Medicine Physician
0102203793VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jun 10, 2024 Accepting new patients
Intermountain Medical Holdings Nevada Inc Internal Medicine CurrentSince Jun 10, 2024 Accepting new patients
Nevada Acute Medical Services-Scherr 1 PC Hospitalist CurrentSince Jul 22, 2019 Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. Past Accepting new patients

Locations

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

7391 W Charleston Blvd
Ste 140
Las Vegas, NV 89117
Phone (702) 233-0684

321 N Nellis Blvd
Ste 110
Las Vegas, NV 89110
Phone (702) 438-4003

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Interoperability endpoints

  • Direct secure messaging: jenniferwhitmore@hcpnv.allscriptsdirect.net

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": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1841566023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N NELLIS BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105416",
            "telephone_number": "702-438-4003",
            "fax_number": "702-438-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMORE",
        "first_name": "JENNIFER",
        "middle_name": "LINDSAY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-01",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102203793",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO2579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841566023",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DO2579",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA MEDICAL LICENSE",
            "identifier": "0102203793",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.