Organization Active NPI

Whitney Sleep Associates LLC

Doing business as Whitney Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Burnsville, MN
National Provider Identifier
1215167853
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
WHITNEY SLEEP ASSOCIATES LLC
Doing business as
Whitney Sleep Center
Practice address
2412 E 117TH St
Burnsville, MN 55337-4898
Phone
(952) 891-1713
Fax
(952) 891-4625
NPI assigned
Jul 16, 2009
Organization subpart
Yes
Parent organization
WHITNEY SLEEP ASSOCIATES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Courtney Wade Whitney, DONPI 1861461329
Title
President
Phone
(763) 519-0634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

2412 E 117TH St
Burnsville, MN 55337-4898

Mailing address

2700 Campus Dr Ste 100
Plymouth, MN 55441-2601
Phone (763) 422-6734

Other names 1

  • Whitney Sleep Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031229000200 MN Part B Supplier - Clinic/Group Practice 0941108039 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Burnsville, MN; Plymouth, MN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Whitney Sleep Associates LLC3 organizations share this tax ID, including this one
Part of
Whitney Sleep Associates LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2700 Campus Dr
Ste 100
Plymouth, MN 55441
Phone (763) 519-0634

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1215167853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CAMPUS DR STE 100",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412601",
            "telephone_number": "763-422-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 E 117TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374898",
            "telephone_number": "952-891-1713",
            "fax_number": "952-891-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITNEY SLEEP ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITNEY SLEEP ASSOCIATES LLC",
        "enumeration_date": "2009-07-16",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-519-0634",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitney Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.