Edward Wesley Whittaker, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

300517 Issued in MN

Practice address

8015 36TH Ave N Apt 217
New Hope, MN 55427-1960

Phone

(612) 636-0801

NPI assigned

Jul 24, 2012

Sex

Male

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

State licenses

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1437405750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 36TH AVE N APT 217",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271960",
            "telephone_number": "612-636-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 36TH AVE N APT 217",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271960",
            "telephone_number": "612-636-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "EDWARD",
        "middle_name": "WESLEY",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "300517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantae Webber
• Christina Lynn Weber, PHARM D
• Mark David Wermers, RPH
• Beth Anne Wespetal, PT, DPT, GCS
• Mary Sue Wester, MD
• Doris K Whymark
• Jay Alan Wilcox, DDS
• Jessica Irene Wille, PTA
• Hannah Lea Williamson, MS CCC-SLP
• Carla Sachiko Wilson, LICSW

• Addiction (Substance Use Disorder) Counselor in New Hope, MN
• Providers in New Hope, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.