Active NPI
Cheryl Jean Whitman, MD
- Pediatrics Physician
- Santa Fe, NM
National Provider Identifier
1861460487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 76-288
- Practice address
- 2025 Galisteo St
Santa Fe, NM 87505-2101 - Phone
- (505) 995-4901
- Fax
- (505) 989-6426
- NPI assigned
- Mar 9, 2006
- Last updated
- Nov 8, 2011
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 76-288 | NM | Primary |
Addresses
Primary practice location
2025 Galisteo St
Santa Fe, NM 87505-2101
Mailing address
2025 Galisteo St
Santa Fe, NM 87505-2101
Phone (505) 995-4901
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PROVP16692 | Other | MOLINA HEALTHCARE | |
| 201010702 | Other | PRESBYTERIAN HEALTH PLAN | |
| 29421 | Medicaid | NM | |
| 31071 | Other | LOVELACE | |
| 1699563 | Other | UHC | |
| NM003054 | Other | NM | BCBS NM |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76-288 | NM | MD | Pediatrics Physician |
Interoperability endpoints
- cwhitman164613@christushealth.direct-ci.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1861460487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 GALISTEO ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875052101",
"telephone_number": "505-995-4901",
"fax_number": "505-989-6426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 GALISTEO ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875052101",
"telephone_number": "505-995-4901",
"fax_number": "505-989-6426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITMAN",
"first_name": "CHERYL",
"middle_name": "JEAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NM",
"license": "76-288",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTHCARE",
"identifier": "PROVP16692",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH PLAN",
"identifier": "201010702",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "29421",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE",
"identifier": "31071",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "1699563",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NM",
"identifier": "NM003054",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.