Active NPI
Jennifer Lindsay Whitmore, D.O.
- Internal Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO2579
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841566023 | Medicaid | NV | |
| DO2579 | Other | NV | STATE LICENSE |
| 0102203793 | Other | VA | VIRGINIA 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
Enrollment records 1
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO2579 | NV | MD | Internal Medicine Physician |
| 0102203793 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Internal Medicine | Current | Accepting new patients |
| Nevada Acute Medical Services-Scherr 1 PC | Hospitalist | Current | 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
- 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.
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
-
- Hospitalist Physician
- Las Vegas, NV
- NPI 1992244438
-
- Home Health Agency
- Las Vegas, NV
- NPI 1689882557
-
- Pediatrics Physician
- Las Vegas, NV
- NPI 1902883341
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Las Vegas, NV
- NPI 1548700461
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.