Whitney Fedrick

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

E9N5B4M3 Issued in GA

Practice address

2330 Scenic Hwy S Ste 225
Snellville, GA 30078-3115

Phone

(470) 772-1848

NPI assigned

Mar 24, 2021

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Leverage Labs LLC

  • Clinical Laboratory Director (Non-physician)
  • Snellville, GA
  • NPI 1902471691
  NPD Authorized official

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1154908440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 SCENIC HWY S STE 225",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783115",
            "telephone_number": "470-772-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 SCENIC HWY S STE 225",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783115",
            "telephone_number": "470-772-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDRICK",
        "first_name": "WHITNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": "GA",
            "license": "E9N5B4M3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fastenp LLC ( 24 Hours Mobile Urgent /Primary Care)
• Amanda Faucher, LPC
• Alesia Faulk, RBT
• Erin Elisabeth Favinger
• Sunday A Fawole, DDS, MD
• Feel Good Yoga and Wellness, LLC
• George David Fellows, CADC-II
• Camelia Brown Felton, YOGA THERAPIST
• Tami Mingjing Feng
• Nena H Fennell, MED.CCC-SLP L

• Other Technician in Snellville, GA
• Providers in Snellville, GA by specialty
• Other Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.