Individual provider Active NPI

Jeannette Whitney

  • Neonatal-Perinatal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1942266069
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
J4611 Issued in TX
Practice address
3525 Dorothy LN S
Fort Worth, TX 76107-1731
Phone
(817) 763-0233
Fax
(817) 763-0233
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X J4611 TX Primary

Addresses

Primary practice location

3525 Dorothy LN S
Fort Worth, TX 76107-1731

Mailing address

3525 Dorothy LN S
Fort Worth, TX 76107-1731
Phone (817) 763-0233

Other names 1

  • Mrs. Jeannette Whitney Iglesias Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130216000005 TX Practitioner - Pediatric Medicine 2163676305 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Texas Billing, Inc. Neonatal-Perinatal Medicine CurrentSince Nov 17, 2012 Accepting new patients
Baylor All Saints Medical Center Past Accepting new patients
Texas Health Huguley, Inc. Past Accepting new patients

Locations

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855

Interoperability endpoints

  • Direct secure messaging: jwhitney33344@cookchildrens.direct-ci.com

Organizations & group practices 3

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1942266069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 DOROTHY LN S",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761071731",
            "telephone_number": "817-763-0233",
            "fax_number": "817-763-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 DOROTHY LN S",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761071731",
            "telephone_number": "817-763-0233",
            "fax_number": "817-763-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "JEANNETTE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "J4611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNETTE",
            "last_name": "IGLESIAS",
            "middle_name": "WHITNEY",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.