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Active NPI 1386644052 Individual Practitioner Female Practitioner

Dorothy Whitaker , CRNA

Specialist • Gallup, NM

Professional Overview & Biography Verified Profile Summary

Dorothy Whitaker, CRNA is a registered healthcare professional specializing in Specialist in Gallup, NM. Practice services are available at 516 EAST NIZHONI BLVD. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

516 East Nizhoni Blvd.

Gallup, NM 873011337

Telephone 5057221000
Fax 5057221421
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Gallup, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.4 Yrs
Regional Practice Density
5 Specialists

Practicing in Gallup, NM (429 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MD R067660

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
401790100 (MD)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Johanna Palmgren

Registered Nurse - Administrator

NPI 1003001314
Sandra Skeets , RN

Registered Nurse - Ambulatory Care

NPI 1003009945

Registered Nurse

Jennifer Moore , RN, BSN

Registered Nurse - Medical-Surgical

NPI 1003016460

Registered Nurse, Bachelor of Science in Nursing

Sally Kaufman , RN

Registered Nurse

NPI 1003110537

Registered Nurse

Nancy Davis , RN

Registered Nurse

NPI 1003184201

Registered Nurse

Lorraine Cabrillas , RN

Registered Nurse - Emergency

NPI 1003372004

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 18, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2014

Registered at 516 EAST NIZHONI BLVD., GALLUP, NM 873011337 (Tel: 5057221000)

📍
Updated Business Mailing Address March 18, 2014

Registered at PO BOX 1337, GALLUP, NM 873051337 (Tel: 5057221000)

👤
Provider Name / Credentials Updated March 18, 2014

Recorded as DOROTHY WHITAKER, CRNA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2014

Specialist (License #R067660 in MD)

🟢
Initial NPI Registration & Enumeration July 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1386644052
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2005
Last Update: March 18, 2014
Sole Proprietor: No

Mailing Address

Po Box 1337

Gallup, NM 873051337

Phone: 5057221000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.