Active NPI 1336973908 Individual Practitioner Female Practitioner

Stephanie P Whitlock , NP

Nurse Practitioner - Gerontology • Clarkston, WA

Professional Overview & Biography Verified Profile Summary

Stephanie Whitlock, NP is a registered healthcare professional specializing in Nurse Practitioner - Gerontology in Clarkston, WA. Practice services are available at 1119 HIGHLAND AVE STE 10 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1119 Highland Ave Ste 10

Clarkston, WA 994032836

Telephone 5097581450

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Clarkston, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 8.3 Yrs

Regional Practice Density

1 Specialists

Practicing in Clarkston, WA (210 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

CMS Verified: 2024-08-27

Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License WA AP61601853

Definition to come...

Practice Associates & Co-Workers

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

4 Associated Practitioners

Amanda Lott , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1629847405

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. Carson Seeber , MD

Family Medicine

NPI 1861740300

Doctor of Medicine (M.D.)

Dr. Joel Woodruff , MD

Family Medicine

NPI 1912420332

Doctor of Medicine (M.D.)

Dr. John Merrill , DO

Family Medicine

NPI 1992152326

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 27, 2024

NPI status registered as active in NPPES database

📍

Updated Practice Location August 27, 2024

Registered at 1119 HIGHLAND AVE STE 10, CLARKSTON, WA 994032836 (Tel: 5097581450)

📍

Updated Business Mailing Address August 27, 2024

Registered at 3814 13TH STREET D, LEWISTON, ID 835015704 (Tel: 2083050742)

👤

Provider Name / Credentials Updated August 27, 2024

Recorded as STEPHANIE WHITLOCK, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2024

Nurse Practitioner (License #AP61601853 in WA)

🟢

Initial NPI Registration & Enumeration August 27, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336973908

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 27, 2024

Last Update: August 27, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3814 13th Street D

Lewiston, ID 835015704

Phone: 2083050742

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.