Active NPI
Niesha Lynetta Whitelow I
- Licensed Vocational Nurse
- Fresno, CA
National Provider Identifier
1922557768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 293397
- Practice address
- 3555 W Bullard Ave
Apt 110
Fresno, CA 93711-1564 - Phone
- (559) 500-8201
- NPI assigned
- Sep 21, 2016
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 293397 | CA | Primary |
Addresses
Primary practice location
3555 W Bullard Ave
Apt 110
Fresno, CA 93711-1564
Mailing address
3555 W Bullard Ave
Apt 110
Fresno, CA 93711-1564
Phone (559) 500-8201
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1922557768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3555 W BULLARD AVE",
"address_2": "APT 110",
"city": "FRESNO",
"state": "CA",
"postal_code": "937111564",
"telephone_number": "559-500-8201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 W BULLARD AVE",
"address_2": "APT 110",
"city": "FRESNO",
"state": "CA",
"postal_code": "937111564",
"telephone_number": "559-500-8201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITELOW",
"first_name": "NIESHA",
"middle_name": "LYNETTA",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-21",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "293397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.