Tracy Yvonne Whiteside

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

9981 Chemstrand Rd
Pensacola, FL 32514-2702

Phone

(850) 723-6578

Fax

(850) 994-8443

NPI assigned

Aug 8, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1073296190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 WILLIAMSON LN",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712237",
            "telephone_number": "850-723-6578",
            "fax_number": "850-994-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9981 CHEMSTRAND RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325142702",
            "telephone_number": "850-723-6578",
            "fax_number": "850-994-8443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8100 Opportunity Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "FL",
            "postal_code": "325838727",
            "country_code": "US",
            "telephone_number": "850-723-6578",
            "fax_number": "850-994-8443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITESIDE",
        "first_name": "TRACY",
        "middle_name": "YVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J White, CRNA
• Kayt Whitebird Orange, PH.D.
• Brittney Whitehead, REGISTERED INTERN
• Mitchell Eugene Whitehead, M.D.
• Timothy S. Whiteley, PT
• Steven Kyle Whitfield, LCSW
• Stephen Leonard Whitley
• Kelly S Whitlow, CRNA
• Brittany Anne Whitman, PA-C
• Maxwell Riese Whitson, LCSW

• Behavior Technician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.