Courtney Ann Whatley

Primary specialty

Blind Rehabilitation Specialist/TechnologistTaxonomy code 2255R0406X

Practice address

111 Tranquility Dr
Crestview, FL 32536-9567

Phone

(850) 902-1555

NPI assigned

Apr 7, 2020

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1407485832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20648 DUNHAM RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384452",
            "telephone_number": "850-902-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 TRANQUILITY DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325369567",
            "telephone_number": "850-902-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHATLEY",
        "first_name": "COURTNEY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255R0406X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Rehabilitation, Blind",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Blind Rehabilitation Specialist/Technologist in Crestview, FL
• Providers in Crestview, FL by specialty
• Blind Rehabilitation Specialist/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.