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MS. KATHLEEN M WHITAKER CNS
NPI 1780838557
Registered Nurse - Psychiatric/Mental Health in Lebanon, IN

Active since November 06, 2008Opted out of Medicare · through Aug 19, 2027
209 W NORTH ST, LEBANON, IN 46052(765) 481-2015(765) 481-2270 Get Directions Write a Review

NPPES record last updated: April 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kathleen M Whitaker Cns NPPES

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

MS. KATHLEEN M WHITAKER CNS (NPI 1780838557) is an individual psychiatric/mental health provider in Lebanon, Indiana, licensed in Indiana (28056006A) and active in the NPI registry since November 2008. She has opted out of Medicare through August 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1780838557
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameMS. KATHLEEN M WHITAKERCredential: CNS
Location Address209 W NORTH STLebanon, IN 46052
Mailing Address209 W. North StLebanon, IN 46052 · (765) 481-2015 · Fax (765) 481-2270
Phone(765) 481-2015
Fax(765) 481-2270
Sole ProprietorYes
Enumeration DateNovember 6, 2008
Last NPPES UpdateApril 9, 2015
✔ NPI 1780838557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in IN · 28056006A
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License 28056006A (IN)
Also ListedClinical Nurse SpecialistTaxonomy 364S00000X · License 70000213 (IN)
Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X · License 70000213 (IN)
209 W NORTH ST, Lebanon, IN 46052
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Other Identifiers 1

Medicaid200983160IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Kathleen M Whitaker Cns has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 19, 2015 through August 19, 2027.

Opt-Out Effective DateAugust 19, 2015
Opt-Out In Effect ThroughAugust 19, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Kathleen Whitaker's NPI number?

The NPI number for Kathleen Whitaker is 1780838557. It was assigned to this individual provider in the NPPES registry on November 6, 2008.

Where is Kathleen Whitaker located?

Kathleen Whitaker practices at 209 W North St, Lebanon, IN 46052. The listed phone number is (765) 481-2015.

What is Kathleen Whitaker's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Kathleen Whitaker enrolled in Medicare?

No. Kathleen Whitaker has opted out of Medicare through August 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kathleen Whitaker was last updated on April 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.