Ebonie M Whitted

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2800 SW Williston Rd Apt 322
Gainesville, FL 32608-3968

Phone

(224) 520-0630

NPI assigned

Jun 29, 2023

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": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1407533607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SW WILLISTON RD APT 322",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326083968",
            "telephone_number": "224-520-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SW WILLISTON RD APT 322",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326083968",
            "telephone_number": "224-520-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTED",
        "first_name": "EBONIE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Whittaker
• Crystal Whittaker
• Denise H Whittaker, PA C
• Ursula Danielle Floyd Whittaker, P.T.
• Wendee Morgan Whittaker, PMHNP
• Lee Mary Whitted, L.M.T.
• Jenae Kelley Whittemore, D.C.
• Michelle Lynn Whitten, MSN, APRN, FNP-BC
• Marissa V Whitter, LMHC
• Shanda N Whittle

• Athletic Trainer in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.