Active NPI
Emily Jolynda Whitman, O.D.
- Optometrist
- Brentwood, TN
National Provider Identifier
1235244930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC4184
- Practice address
- 9237 Greensboro CT
Brentwood, TN 37027-7438 - Phone
- (850) 292-7062
- NPI assigned
- Aug 20, 2006
- Last updated
- Sep 24, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC4184 | FL | Primary |
| Optometrist | 152W00000X | OD0000003066 | TN |
Addresses
Primary practice location
9237 Greensboro CT
Brentwood, TN 37027-7438
Mailing address
9237 Greensboro CT
Brentwood, TN 37027-7438
Phone (850) 292-7062
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AE784Z | Other | FL | MEDICARE |
| 36010 | Other | FL | BCBS OF FLORIDA |
| 11658031 | Other | CAQH | |
| 9551077 | Other | AETNA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC4184 | FL | MD | Optometrist |
| OD0000003066 | TN | MD | Optometrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Brentwood, TN
- NPI 1093913139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1235244930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9237 GREENSBORO CT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277438",
"telephone_number": "850-292-7062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9237 GREENSBORO CT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277438",
"telephone_number": "850-292-7062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITMAN",
"first_name": "EMILY",
"middle_name": "JOLYNDA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC4184",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "OD0000003066",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "AE784Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "36010",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11658031",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9551077",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.