Angie Lynn Whitis, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2403 Issued in KY

Practice address

784 Whitis Rd
Boaz, KY 42027-8219

Phone

(270) 658-3727

NPI assigned

Apr 17, 2013

Last updated

Apr 17, 2013By the provider in NPPES

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

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1245674530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 WHITIS RD",
            "city": "BOAZ",
            "state": "KY",
            "postal_code": "420278219",
            "telephone_number": "270-658-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 WHITIS RD",
            "city": "BOAZ",
            "state": "KY",
            "postal_code": "420278219",
            "telephone_number": "270-658-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITIS",
        "first_name": "ANGIE",
        "middle_name": "LYNN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "2403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie T Ingram, D.I
• Lisa McCoy Miller Arnp PLLC
• Marley K Snow, MS, CCC-SLP
• Christina Dawn Todd, RDLD
• Eric Ryan Weston, RN

• Speech-Language Pathologist in Boaz, KY
• Providers in Boaz, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.