Edith Virginia Whiting, M.T.

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

License

MTA 22170 Issued in CA

Practice address

23 Saraceno
Newport Coast, CA 92657-1305

Phone

(949) 689-3941

NPI assigned

Oct 18, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

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

{
    "created_epoch": "1255824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255824000000",
    "number": "1205162740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SARACENO",
            "city": "NEWPORT COAST",
            "state": "CA",
            "postal_code": "926571305",
            "telephone_number": "949-689-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SARACENO",
            "city": "NEWPORT COAST",
            "state": "CA",
            "postal_code": "926571305",
            "telephone_number": "949-689-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITING",
        "first_name": "EDITH",
        "middle_name": "VIRGINIA",
        "credential": "M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-18",
        "last_updated": "2009-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "CA",
            "license": "MTA 22170",
            "primary": true
        },
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "FL",
            "license": "TN38921",
            "primary": false
        },
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "HI",
            "license": "4353",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Betty Teller Werksman, M.D.
• Michele Lee Yian, D.M.D
• Laura Katrina York, LCSW

• Medical Laboratory Technician in Newport Coast, CA
• Providers in Newport Coast, CA by specialty
• Medical Laboratory Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2009; 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.