Active NPI
Sammy L Whitaker
- Driver
- Stafford, TX
National Provider Identifier
1922513522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 719 Wheelhouse Dr
Stafford, TX 77477-5829 - Phone
- (832) 641-0240
- Fax
- (281) 208-0247
- NPI assigned
- Dec 5, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
719 Wheelhouse Dr
Stafford, TX 77477-5829
Mailing address
719 Wheelhouse Dr
Stafford, TX 77477-5829
Phone (832) 641-0240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75-3225134 | Medicaid | TX |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whitaker Enterprise Contractor | 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.
-
- Transportation Broker
- Stafford, TX
- NPI 1639671084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512432000000",
"number": "1922513522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 WHEELHOUSE DR",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774775829",
"telephone_number": "832-641-0240",
"fax_number": "281-208-0247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 WHEELHOUSE DR",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774775829",
"telephone_number": "832-641-0240",
"fax_number": "281-208-0247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "SAMMY",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-05",
"last_updated": "2017-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "75-3225134",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.