KELLI D WHITEHEAD (NP) – Family Nurse Practitioner, NPI 1619069184

Family Nurse Practitioner

KELLI D WHITEHEAD (NP) is a healthcare provider. based in Rockwall, Texas. specializing in Family Nurse Practitioner. They hold the professional credentials NP. They hold a License No. AP113566 (TX). The NPI Number for KELLI D WHITEHEAD (NP) is 1619069184

Main info

Female

29 Years Of Experience

Accepts Medicare Assignment

Name

KELLI D WHITEHEAD (NP)

NPI

1619069184

Phone

(972) 722-4706

Address

2004 N GOLIAD ST

Enumeration Date

29 September 2006

Last Update Date

6 October 2015

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8663892727

Graduation Year

1997 (29 years ago)

PAC ID

9436115169

Group Practice PAC ID

7416039177

Professional Enrollment ID

I20041206000020

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for KELLI D WHITEHEAD (NP)

CVS Pharmacy, 2004, North Goliad Street, Rockwall, Rockwall County, Texas, 75087, United States
ROCKWALL, TX 750877317
Phone: (972) 722-4706
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75087)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 7416039177View full group profile

Name	Specialty	State
SHELLY GALLINI (PA-C)	-	TX
MRS. UKISHA NEWSOME (MSN, APRN, FNP-C)	-	TX
PRUDENCE CORNELIUS OPPONG (FNP)	Nurse Practitioner	TX
ASHLEY LINGO (PA-C)	-	TX
DEBORAH KAY BROWN (NP-C)	Nurse Practitioner	TX
MARYROSE OBIDIAKU (NP)	-	TX
MS. JASMINE PATRICE DARK (FNP-BC)	-	TX
ISRAEL MARTINEZ (NP)	Nurse Practitioner	TX
MS. SANDRA SUE HORWITZ (FNP-C)	-	TX
DR. SHAHEEN KAVOUSSI (M.D.)	O P H T H A L M O L O G Y	TX