Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Demetrius Whitehead, LPN

Individual provider Licensed Practical Nurse · NPI 1346880341

Demetrius Whitehead, LPN is a Licensed Practical Nurse in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2020
Specialties on file
3
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

415 S Butler Ave
Indianapolis, IN 46219-7034
Phone: (317) 499-0437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Disabilities Residential Treatment Facility (primary) Taxonomy 320700000X · Licence 21015321 (IN)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 27060564A (IN)
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X · Licence 21015321 (IN)

Record details

NPI number1346880341
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedJanuary 8, 2020
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024
Mailing address415 S Butler Ave, Indianapolis, IN 46219-7034

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