Individual provider Active NPI

Whittany Gibson, RDN, LD

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Bradenton, FL
National Provider Identifier
1538701917
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X
License
9493 Issued in FL
Practice address
232 Manatee Ave E
Bradenton, FL 34208
Phone
(941) 254-4957
Fax
(941) 254-4958
NPI assigned
Oct 17, 2019
Last updated
Jul 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 9493 FL
Nutrition Education Nutritionist 133NN1002X 9493 FL
Registered Dietitian 133V00000X 9493 FL
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X 9493 FL Primary

Addresses

Primary practice location

232 Manatee Ave E
Bradenton, FL 34208

Mailing address

367 S Gulph Rd
Attn: Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (610) 382-4943

Other practice location 1

1219 Village Green Pkwy
Bradenton, FL 34209-4401
Phone (941) 524-9174

Other practice location 2

606 4th Ave W
Palmetto, FL 34221-5226
Phone (941) 722-7785

Other practice location 3

5225 Manatee Ave W
Bradenton, FL 34209-3742
Phone (941) 708-8081

Other practice location 4

316 Manatee Ave W
Bradenton, FL 34205-8805
Phone (941) 748-2277

Other practice location 5

8340 Lakewood Ranch Blvd Ste 210
Lakewood Ranch, FL 34202-5185
Phone (941) 782-2800

Other practice location 6

1720 Manatee Ave E
Bradenton, FL 34208-1452
Phone (941) 216-2878

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9493FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition First, LLC Nutrition, Obesity and Weight Management CurrentSince Aug 2, 2020 Accepting new patients
Manatee Specialty Physician Alliance, LLC CurrentSince Sep 16, 2024 Accepting new patients

Locations

1720 Manatee Ave E
Bradenton, FL 34208
Phone (941) 216-2878

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

232 Manatee Ave E
Bradenton, FL 34208
Phone (941) 254-4957

606 4th Ave W
Palmetto, FL 34221
Phone (941) 722-7785

367 S Gulph Rd
Kng of Prussa, PA 19406
Phone (610) 382-4422

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1538701917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S GULPH RD",
            "address_2": "ATTN: IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "610-382-4943",
            "fax_number": "610-878-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34208",
            "telephone_number": "941-254-4957",
            "fax_number": "941-254-4958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1219 Village Green Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342094401",
            "country_code": "US",
            "telephone_number": "941-524-9174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 4th Ave W",
            "address_purpose": "LOCATION",
            "city": "Palmetto",
            "state": "FL",
            "postal_code": "342215226",
            "country_code": "US",
            "telephone_number": "941-722-7785",
            "fax_number": "941-729-5267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5225 Manatee Ave W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342093742",
            "country_code": "US",
            "telephone_number": "941-708-8081",
            "fax_number": "941-708-8085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 Manatee Ave W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342058805",
            "country_code": "US",
            "telephone_number": "941-748-2277",
            "fax_number": "941-748-1958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8340 Lakewood Ranch Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342025185",
            "country_code": "US",
            "telephone_number": "941-782-2800",
            "fax_number": "941-782-2513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 Manatee Ave E",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342081452",
            "country_code": "US",
            "telephone_number": "941-216-2878",
            "fax_number": "941-216-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "WHITTANY",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "9493",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "FL",
            "license": "9493",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "9493",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "FL",
            "license": "9493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.