MRS. WHITNEY BARRIER BROCK (NPI# 1215454418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215454418 |
| Entity Type | Individual |
| Full Name | MRS. WHITNEY BARRIER BROCK |
| Credential | NP-C |
| Practice Address |
100 Maxwell Dr Vicksburg MS 39180-4476 |
| Mailing Address |
210 Madison Ridge Rd Vicksburg MS 39180-3400 |
| Practice Telephone | 6018832900 |
| Mailing Telephone | 6015627105 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 157298 | LA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 886293 | MS | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
902201 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP09581 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023636 | Whitney Brock | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-11-02 |
| 1952771370 | Whitney Wardlaw Brock | Registered Nurse | 3020 Childrens Way, Mc 5008, San Diego, CA 92123-4223 | 2015-09-28 |
| 1356728935 | Whitney Brock | Family Medicine | 5750 Pineland Dr # 150, Dallas, TX 75231-5300 | 2015-05-02 |
| Street Address |
100 MAXWELL DR |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39180-4476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063625960 | Bladder Control Solutions, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 100 Maxwell Dr, Vicksburg, MS 39183 | 2007-05-07 |
| 1114008901 | Vicksburg Women's Care, Inc | Obstetrics & Gynecology | 100 Maxwell Dr, Vicksburg, MS 39180-4476 | 2006-10-18 |
| 1316028194 | Joseph Austin | Obstetrics & Gynecology | 100 Maxwell Dr, Vicksburg, MS 39180-4476 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255877346 | Elite Performance and Rehab, LLC | Clinic/Center | 1901 A Mission 66, Vicksburg, MS 39180 | 2017-01-12 |
| 1679931083 | Heather M Anderson | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 | 2016-02-01 |
| 1245604941 | Warren County Assn.for Retarded Citizens, Inc. | Day Training, Developmentally Disabled Services | 100 Smokey Lane, Vicksburg, MS 39180 | 2015-11-18 |
| 1386012904 | Brian Oliver Snowden | Counselor | 3530 Manor Dr Ste 5a, Vicksburg, MS 39180 | 2015-09-14 |
| 1962802710 | Jordan P. Crocker, D.m.d., Pllc | Clinic/Center | 109 Monument Place, Vicksburg, MS 39180 | 2014-08-29 |
| 1821434259 | Trisha Addison | Physical Therapist | 2222 South Frontage Road, Suite D, Vicksburg, MS 39180 | 2013-05-13 |
| 1073862157 | Laura Jeanne Briggs | Physical Therapist | 1901-a Mission 66, Vicksburg, MS 39180 | 2012-09-05 |
| 1912175258 | Andrea T. Harris | Counselor | Warren-yazoo Mental Health Service, 3444 Wisconsin Ave., Vicksburg, MS 39180 | 2008-02-20 |
| 1922217314 | Austin Family Dentistry | Dentist | 3040 Indiana Ave, Vicksburg, MS 39180 | 2007-05-22 |
| 1063539138 | Ollie Hardaway Jr. | Dentist | 154 Cottonwood Street, Vicksburg, MS 39180 | 2007-03-23 |
| Find all providers in zip 39180 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144831140 | Manivanh Prudhomme | Nurse Practitioner | 109 Airline Drive, Vicksburg, MS 39180-3918 | 2020-08-12 |
| 1225532450 | Tabitha Nicole Allen | Nurse Practitioner | 2080 S Frontage Rd Ste 106, Vicksburg, MS 39180-5882 | 2018-03-21 |
| 1164971131 | Janine Gibbs Larry | Nurse Practitioner | 139 Watkins Rd, Vicksburg, MS 39180-7291 | 2016-09-30 |
| 1326434564 | Elizabeth Hill | Nurse Practitioner | 4204 Clay St, Vicksburg, MS 39183-3438 | 2015-04-14 |
| 1033522073 | Aubri Bailey Hickman | Nurse Practitioner | 2050 Birdsong Rd, Vicksburg, MS 39183-9200 | 2014-06-07 |
| 1891894101 | Bonnie Lee Morehead | Nurse Practitioner | 204 Duval St, Vicksburg, MS 39183-8207 | 2006-09-22 |
| 1598230245 | Amanda Henson Gill | Nurse Practitioner | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180-5883 | 2018-10-09 |
| 1205343803 | Tonette Harris-haynes | Nurse Practitioner | 2850 Porters Chapel Rd, Vicksburg, MS 39180-1805 | 2018-01-04 |
| 1881146306 | Kimberly Renee Kilpatrick | Nurse Practitioner | 1907 Mission 66, Vicksburg, MS 39180-3711 | 2016-11-01 |
| 1659739787 | Denesia Y Giffin Pllc | Nurse Practitioner | 1901 Mission 66, Vicksburg, MS 39180-3711 | 2016-02-03 |
| Find all providers in VICKSBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.