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JACOLBY THOMAS WHITAKER
NPI 1164054482
Student in an Organized Health Care Education/Training Program in Alto, TX

Active since February 05, 2020
8830 STATE HIGHWAY 21, ALTO, TX 75925(903) 948-1074 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacolby Thomas Whitaker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOLBY THOMAS WHITAKER (NPI 1164054482) is an individual student in an organized health care education/training program in Alto, Texas and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1164054482
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOLBY THOMAS WHITAKER
Location Address8830 STATE HIGHWAY 21Alto, TX 75925-6018
Mailing Address8830 State Highway 21Alto, TX 75925-6018 · (903) 948-1074
Phone(903) 948-1074
Sole ProprietorYes
Enumeration DateFebruary 5, 2020
✔ NPI 1164054482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
8830 STATE HIGHWAY 21, Alto, TX 75925
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacolby Whitaker's NPI number?

The NPI number for Jacolby Whitaker is 1164054482. It was assigned to this individual provider in the NPPES registry on February 5, 2020.

Where is Jacolby Whitaker located?

Jacolby Whitaker practices at 8830 State Highway 21, Alto, TX 75925. The listed phone number is (903) 948-1074.

What is Jacolby Whitaker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacolby Whitaker was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.