Amy Marie Whitman

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

524-140 Issued in WI

Practice address

2073 Lawrence Dr
De Pere, WI 54115-9106

Phone

(920) 351-3027

NPI assigned

Apr 6, 2022

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

Other names 1

• Amy M Nelson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Milestones Behavioral Pediatrics Inc

  • Community/Behavioral Health Agency
  • De Pere, WI
  • NPI 1649759705
  NPD (past)
• Shawn Bohanan Behavioral Consultation, LLC

  • Community/Behavioral Health Agency
  • Augusta, GA
  • NPI 1295143097
  NPD (past)

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1356082853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 HUBBARD ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 LAWRENCE DR",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159106",
            "telephone_number": "920-351-3027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "886 Hubbard St",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543032973",
            "country_code": "US",
            "telephone_number": "906-280-8165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "524-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "NELSON",
            "middle_name": "M",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Welke, PHARMD
• Courtney Lynn Wendler, NP
• Brittini Wester, LPC
• Amy Wetzler, MS, LPC, NCC
• Aaron Lee White, D-PT
• Kiara Wildenberg, BCBA
• Alec Wilhelmi, MD
• Christopher Paul Williams, LCSW
• Chelsea Wilson
• Jessica L. Wirkus, NP

• Behavior Analyst in De Pere, WI
• Providers in De Pere, WI by specialty
• Behavior Analyst in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.