Active NPI
Carolyn Louise Whiting
- Case Manager/Care Coordinator
- Cocoa, FL
National Provider Identifier
1275831265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 6482 Stillwater Ave
Cocoa, FL 32927-3305 - Phone
- (321) 536-3435
- Fax
- (321) 638-3562
- NPI assigned
- Mar 1, 2011
- Last updated
- Mar 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
6482 Stillwater Ave
Cocoa, FL 32927-3305
Mailing address
6482 Stillwater Ave
Cocoa, FL 32927-3305
Phone (321) 536-3435
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 691160996 | Medicaid | FL | |
| 691160998 | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298937600000",
"number": "1275831265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6482 STILLWATER AVE",
"city": "COCOA",
"state": "FL",
"postal_code": "329273305",
"telephone_number": "321-536-3435",
"fax_number": "321-638-3562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6482 STILLWATER AVE",
"city": "COCOA",
"state": "FL",
"postal_code": "329273305",
"telephone_number": "321-536-3435",
"fax_number": "321-638-3562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITING",
"first_name": "CAROLYN",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-01",
"last_updated": "2011-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "691160996",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "691160998",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.