Michelle Whittaker, FNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024174699 Issued in VA

Practice address

2017 Jefferson St SW
Roanoke, VA 24014-2419

Phone

(540) 981-8025

Fax

(540) 853-0511

NPI assigned

Mar 22, 2017

Last updated

Aug 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SNF Physiatry Services VA LLCGroup PAC ID 9032649769, 3 clinicians

Balance Wellspace Integrative Medicine IncGroup PAC ID 9638410624, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwhittaker108294@direct.carilionclinic.org

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

• Balance Wellspace Integrative Medicine, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Roanoke, VA
  • NPI 1164966446
  Medicare reassignment Care Compare group NPD
• SNF Physiatry Services VA LLC

  dba American Physiatry

  • Physical Medicine & Rehabilitation Physician
  • Virginia Beach, VA
  • NPI 1255168894
  Medicare reassignment Care Compare group NPD
• Turning Point Interventions, LLC

  • Community/Behavioral Health Agency
  • Ringgold, VA
  • NPI 1437633013
  Medicare reassignment NPD
• Walnut Avenue Associates PC

  • Addiction Psychiatry Physician
  • Roanoke, VA
  • NPI 1861583791
  Medicare reassignment NPD
• Psychogeriatric Services LLC

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1588689483

  DC, VA

  Medicare reassignment NPD
• Blue Ridge Mind and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Roanoke, VA
  • NPI 1235076852

  Family

  NPD Authorized official
• Blue Ridge Mind and Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Roanoke, VA
  • NPI 1457298192
  NPD Authorized official
• Carilion Emergency Services, Inc.

  dba VelocityCare

  • Urgent Care Clinic/Center
  • Christiansburg, VA
  • NPI 1598533879
  NPD (past)

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1841721891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 JEFFERSON ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240142419",
            "telephone_number": "540-981-8025",
            "fax_number": "540-853-0511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2331 Franklin Rd SW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240141111",
            "country_code": "US",
            "telephone_number": "540-224-5170",
            "fax_number": "540-344-2950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "MICHELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174699",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024174699",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024174699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert Whitley, MD
• Ashley Nicole Whitlow, NNP- BC
• Kelley Kendall Whitmer, MD
• William P Whitney, MD
• Jared Tyler Whittaker
• Mikaela Whittaker
• Morgan Rebecca Whittaker, LCSW
• Sean M Whitty, MD
• Brandi Lauren Wian
• Alexandria Wickman

• Psychiatric/Mental Health Nurse Practitioner in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.

Verify at the official NPI Registry.