Individual provider Active NPI

Whitney Hanna Balmert, PA

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1235430034
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
PA9105724 Issued in FL
Practice address
844 N Thornton Ave
Orlando, FL 32803-4003
Phone
(407) 894-8768
Fax
(407) 894-6872
NPI assigned
Nov 10, 2010
Last updated
Nov 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X PA9105724 FL Primary

Addresses

Primary practice location

844 N Thornton Ave
Orlando, FL 32803-4003

Mailing address

1736 Indiana Ave
Winter Park, FL 32789-5447
Phone (330) 283-0376

Other identifiers 1

IdentifierTypeStateIssuer
PA9105724OtherFLSTATE LICENSE

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)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9105724FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Night Lite Pediatric Center, LLC Pediatrics PastSince Dec 21, 2021 Accepting new patients
Night Lite Pediatric Center, LLC Pediatrics Past Accepting new patients
Night Lite Pediatric Center, LLC Pediatrics PastSince Dec 21, 2021 Accepting new patients
Night Lite Pediatric Center, LLC Pediatrics PastSince Dec 21, 2021 Accepting new patients
Night Lite Pediatric Center, LLC Pediatrics PastSince Dec 21, 2021 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1235430034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 INDIANA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895447",
            "telephone_number": "330-283-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 N THORNTON AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034003",
            "telephone_number": "407-894-8768",
            "fax_number": "407-894-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALMERT",
        "first_name": "WHITNEY",
        "middle_name": "HANNA",
        "name_prefix": "Prof.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "PA9105724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA9105724",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.