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

Whitney Rachelle Coultas

Individual provider Nurse Practitioner · NPI 1053088575

Whitney Rachelle Coultas is a Nurse Practitioner in Medford, Oregon. Qualified in 2021, 5 years ago. Offers telehealth. Licensed in Oregon.

Years since qualifying
5
Licensed in
OR
In the registry since
2021
Specialties on file
2

Practice location Address checks out

3110 State St
Medford, OR 97504-8450
Phone: (541) 872-3580
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 202111129NP-PP (OR)
Registered Nurse Taxonomy 163W00000X · Licence 201602008RN (OR)

Record details

NPI number1053088575
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2021
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Medford