STEPHANIE C WHITTAKER (NPI# 1902043755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902043755 |
| Entity Type | Individual |
| Full Name | STEPHANIE C WHITTAKER |
| Other Name | STEPHANIE C BOBBITT |
| Credential | CNS |
| Practice Address |
705 Riley Hospital Dr Room 2001 Indianapolis IN 46202-5109 |
| Practice Telephone | 3179449981 |
| Practice Fax Number | 3179440282 |
| Mailing Telephone | 3179449981 |
| Mailing Fax Number | 3179440282 |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2012-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 71002852 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000599654 | 01 |
| IN | RAILROAD MEDICARE | P00926488 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528556313 | Stephanie Whittaker | Social Worker | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4511 | 2018-04-26 |
| 1760804496 | Stephanie Whittaker | Dietitian, Registered | 1 Hospital Plz, Grafton, WV 26354-1283 | 2014-01-15 |
| Street Address |
705 RILEY HOSPITAL DR ROOM 2001 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095308 | Laquia Vinson | Dentist | 705 Riley Hospital Dr, Suite 4205, Indianapolis, IN 46202-5109 | 2005-06-30 |
| 1801403928 | Morgan Lewis | Nurse Anesthetist, Certified Registered | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-09-24 |
| 1063028009 | Maham Fatima | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-09-16 |
| 1871105205 | Rosemary Bland | Nurse Practitioner | 705 Riley Hospital Dr, Ri 1134, Indianapolis, IN 46202-5109 | 2020-08-18 |
| 1720699226 | Nancy Marie Dalton | Physician Assistant | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-08-10 |
| 1205446325 | Nadine Al Homsi | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-08-04 |
| 1477162808 | Julia Lamotte | Psychologist | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-31 |
| 1154930626 | Anna Himes | Nurse Practitioner | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-30 |
| 1750990230 | Victoria H Klee | Genetic Counselor, MS | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-30 |
| 1134738677 | Jenna Pogorzelski | Dietitian, Registered | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851471221 | Margaret Rose Payne | Clinical Nurse Specialist | 850 N Meridian St, 2nd Floor, Indianapolis, IN 46204-1098 | 2006-10-17 |
| 1710944863 | Penni Lorraine Cremer | Clinical Nurse Specialist | 1424 E 91st St, Indianapolis, IN 46240-1902 | 2006-05-01 |
| 1457703159 | Elizabeth Ferguson | Clinical Nurse Specialist | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 | 2016-07-06 |
| 1265812010 | Joycelyn L Howard | Clinical Nurse Specialist | 1633 N Capitol Ave, Suite 301, Indianapolis, IN 46202-1476 | 2015-06-08 |
| 1619139359 | Mary Lou Wulf | Clinical Nurse Specialist | 1701 N Senate Blvd, Rm Ag 001, Indianapolis, IN 46202-1239 | 2008-06-25 |
| 1285826750 | Pamela O'haver Day | Clinical Nurse Specialist | 9670 E Washington St, Ste 120, Indianapolis, IN 46229-3032 | 2007-08-17 |
| 1487784211 | Cheryl Lee Crisp | Clinical Nurse Specialist | 702 Barnhill Dr, Ri 5837, Indianapolis, IN 46202-5128 | 2007-03-07 |
| 1558384859 | Joan M. Barr | Clinical Nurse Specialist | 1801 Senate Blvd, Suite 3100, Indianapolis, IN 46202-1228 | 2006-07-26 |
| 1497790463 | Joyce A Scott | Clinical Nurse Specialist | 2620 Kessler Boulevard East Dr, Suite 210, Indianapolis, IN 46220-2890 | 2006-06-16 |
| 1720039589 | Jean M Bandos | Clinical Nurse Specialist | 1001 W 10th St, Indianapolis, IN 46202-2859 | 2006-05-15 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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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.