Active NPI
Whitney Wellborn
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- Lenoir, NC
National Provider Identifier
1043408867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- Practice address
- 322 Nuway Cir
Lenoir, NC 28645-3656 - Phone
- (828) 754-8500
- NPI assigned
- Oct 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | Primary | ||
| Speech-Language Pathologist | 235Z00000X | 7291 | NC |
Addresses
Primary practice location
322 Nuway Cir
Lenoir, NC 28645-3656
Mailing address
198 Creekside LN
Boone, NC 28607-8944
Phone (828) 964-9111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7291 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1043408867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 CREEKSIDE LN",
"city": "BOONE",
"state": "NC",
"postal_code": "286078944",
"telephone_number": "828-964-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 NUWAY CIR",
"city": "LENOIR",
"state": "NC",
"postal_code": "286453656",
"telephone_number": "828-754-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLBORN",
"first_name": "WHITNEY",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-05",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "7291",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lenoir, NC
- Ann Michelle Waters, FNP-BC
- Shannon Kay Waters, PA-C
- Cristal McCall Watson, LPTA
- Haley Cheyenne Watson, FNP
- Valerie Hooper Watts, B.S, PHARM D, CPP
- Wesley H. Bridges, D.D.S., P.a.
- Jessica Potter Wesson, DNP-AGNP
- West Caldwell Health Council Inc
- West Caldwell Health Council, Inc. (Happy Valley Medical Center)
- Madeline Paige West-Smith
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.