Individual provider Active NPI

Christine Gloria Whalen, DPM

  • Podiatrist
  • West Springfield, MA
National Provider Identifier
1881641884
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1807 Issued in MA
Practice address
1005 Elm Street
West Springfield, MA 01089-1505
Phone
(413) 736-0947
Fax
(413) 734-3240
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1807 MA Primary

Addresses

Primary practice location

1005 Elm Street
West Springfield, MA 01089-1505

Mailing address

1005 Elm Street
West Springfield, MA 01089-1505
Phone (413) 736-0947

Other identifiers 2

IdentifierTypeStateIssuer
Y7082501OtherMAMEDICARE
0361623MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060413000400 MA Practitioner - Podiatry 8527077874 Practice locations: West Springfield, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1807MAMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Whalen and Whalen Podiatrist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1881641884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 ELM STREET",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891505",
            "telephone_number": "413-736-0947",
            "fax_number": "413-734-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 ELM STREET",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891505",
            "telephone_number": "413-736-0947",
            "fax_number": "413-734-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "CHRISTINE",
        "middle_name": "GLORIA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Y7082501",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361623",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

Verify at the official NPI Registry.