NPIMap

Individual provider Active NPI

Onna Suzzette Whiteman, WHNP

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1871942219
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5018471 Issued in NC
Practice address
Medical Center Blvd
Winston Salem, NC 27157-5651
Phone
(336) 716-4039
NPI assigned
Jun 7, 2016
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5018471 NC Primary
Women's Health Nurse Practitioner 363LW0102X 95004070 CA

Addresses

Primary practice location

Medical Center Blvd
Winston Salem, NC 27157-5651

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-2255

Other practice location 1

136 S Park St
Asheboro, NC 27203-5651
Phone (336) 626-6371

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160921001230 CA Practitioner - Nurse Practitioner 4082901921 Reassigns benefits to 3 organizations
I20230804000499 NC Practitioner - Nurse Practitioner 4082901921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Sep 1, 2024 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Jul 31, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 12, 2019 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Southern California Permanente Medical Group CurrentSince May 26, 2018 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Providence Medical Foundation CurrentSince Aug 13, 2016 Accepting new patients
Southern California Permanente Medical Group CurrentSince May 26, 2018 Accepting new patients
Wake Forest Health Network LLC CurrentSince Jul 31, 2023 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Providence Medical Foundation CurrentSince Aug 13, 2016 Accepting new patients
Juan M Velez, MD, Inc Past Accepting new patients
Cornerstone Health Care LLC Past Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 400
Anaheim, CA 92805

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

136 S Park St
Asheboro, NC 27203
Phone (336) 626-6371

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

250 Hospital Dr
Lexington, NC 27292
Phone (336) 238-4150

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: owhiteman2753497@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1871942219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-716-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271575651",
            "telephone_number": "336-716-4039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 S Park St",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272035651",
            "country_code": "US",
            "telephone_number": "336-626-6371",
            "fax_number": "336-629-0436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEMAN",
        "first_name": "ONNA",
        "middle_name": "SUZZETTE",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5018471",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95004070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.