Jessica Rae Whitman, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

C121201 Issued in IA

Practice address

301 W 2ND St
Ottumwa, IA 52501-2506

Phone

(641) 435-1845

NPI assigned

Oct 5, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Scotland County Memorial Hospital

  • Rural Health Clinic/Center
  • Memphis, MO
  • NPI 1205844982

  MO

  Medicare reassignment NPD
• Scotland County Memorial Hospital

  • Family Medicine Physician
  • Edina, MO
  • NPI 1568092732
  NPD
• Scotland County Memorial Hospital

  • Family Medicine Physician
  • Memphis, MO
  • NPI 1578761060
  NPD

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1982913141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 16TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121068",
            "telephone_number": "319-560-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 2ND ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012506",
            "telephone_number": "641-435-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "IA",
            "license": "C-121201",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C121201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth S Wayne, MD
• Michelle Weeks, CADC
• Steven Wetrich, DDS
• Sandra Michelle Wheaton, BSN, RN
• Susan White, T - LMHC
• Williamson Dental
• Thomas C Williamson, DDS
• Cynthia Lynn Wilson, MAA
• John David Wilson, MD
• Latisha Wilson

• All providers in Ottumwa, IA
• Pediatric Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.