Edwina Whitacre, RN, MSN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20507 Issued in CA

Practice address

180 Northpoint Dr
Redding, CA 96003-2510

Phone

(530) 232-3000

Fax

(530) 232-3099

NPI assigned

Jan 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Master of Science - Nursing, Registered Nurse

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1992000871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 NORTHPOINT DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960032510",
            "telephone_number": "530-232-3000",
            "fax_number": "530-232-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NORTHPOINT DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960032510",
            "telephone_number": "530-232-3000",
            "fax_number": "530-232-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITACRE",
        "first_name": "EDWINA",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Physical Therapy, Inc.
• Jacob Ross Westhorpe, DMD
• Lori Westlake
• Steven James Westlake, MA, ATC, PTA, CSCS
• Charles Mark Wheaton
• Susan E Whitaker, M.A.
• James Gregory White, M.D.
• Tammy Jo White, FNP
• Thomas Delroy White
• Maureen Ann Whiteaker, M.A.

• Family Nurse Practitioner in Redding, CA
• Providers in Redding, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.