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WHITAKER DIRECT PRIMARY CARE, LLC
NPI 1609695378
Nurse Practitioner - Family in Arcanum, OH

Active since October 09, 2024CLIA 36D2248780 · Microscopy
401 N MAIN ST, ARCANUM, OH 45304(937) 662-0191(937) 662-0199 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Whitaker Direct Primary Care, Llc NPPES

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

WHITAKER DIRECT PRIMARY CARE, LLC (NPI 1609695378) is a healthcare organization registered as a family in Arcanum, Ohio and active in the NPI registry since October 2024. The organization holds a CLIA Microscopy certificate valid through January 16, 2028 and lists Abby Whitaker, Owner, as its authorized official.

NPPES Registry Identity

NPI1609695378
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWHITAKER DIRECT PRIMARY CARE, LLC
Location Address401 N MAIN STArcanum, OH 45304-1332
Mailing Address401 N Main StArcanum, OH 45304-1332 · (937) 662-0191 · Fax (937) 662-0199
Phone(937) 662-0191
Fax(937) 662-0199
Organization SubpartNo
Authorized OfficialAbby WhitakerOwner · (937) 662-0191
Enumeration DateOctober 9, 2024
NPPES CertifiedOctober 9, 2024
✔ NPI 1609695378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
401 N MAIN ST, Arcanum, OH 45304
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D2248780

Whitaker Direct Primary Care · Arcanum, OH
Active · expires Jan 16, 2028
CLIA Number36D2248780
Laboratory TypePhysician Office
Certificate Effective DateJanuary 17, 2026
Certificate Expiration DateJanuary 16, 2028
Laboratory DirectorAbby M. Whitaker
Laboratory Phone(937) 662-0181
Laboratory LocationWhitaker Direct Primary Care104 N Main St Suite A, Arcanum, OH 45304
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Whitaker Direct Primary Care, LLC's NPI number?

The NPI number for Whitaker Direct Primary Care, LLC is 1609695378. It was assigned to this organization in the NPPES registry on October 9, 2024.

Where is Whitaker Direct Primary Care, LLC located?

Whitaker Direct Primary Care, LLC is located at 401 N Main St, Arcanum, OH 45304. The listed phone number is (937) 662-0191.

What is Whitaker Direct Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Whitaker Direct Primary Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D2248780) is associated with this NPI, valid through January 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Whitaker Direct Primary Care, LLC was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.