Individual provider Active NPI

Whitney Elona White, SLP

  • Speech-Language Pathologist
  • Pensacola, FL
National Provider Identifier
1669101838
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
7830 Pine Forest Rd BLDG a
Pensacola, FL 32526-8782
Phone
(850) 741-6715
Fax
(850) 204-0489
NPI assigned
Jun 6, 2022
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X FL Primary

Addresses

Primary practice location

7830 Pine Forest Rd BLDG a
Pensacola, FL 32526-8782

Mailing address

208 W Detroit Blvd
Pensacola, FL 32534-3706
Phone (256) 226-1866

Other practice location 1

4624 Summerdale Blvd.
Pace, FL 32571
Phone (850) 994-3456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240321003972 FL Practitioner - Qualified Speech Language Pathologist 1456798743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Action Therapy Group LLCGroup PAC ID 6305258013, 69 clinicians

Practice addresses (Care Compare)

7830 Pine Forest Rd
BLDG a
Pensacola, FL 32526-8782
Phone (850) 741-6715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Action Therapy Group LLC Multi-Specialty CurrentSince Mar 1, 2024 Accepting new patients
Kids Talk Place LLC CurrentSince Jun 1, 2022 Accepting new patients
Kids Talk Place LLC PastSince Jun 1, 2022 Accepting new patients

Locations

3964 Florida Ave
Jay, FL 32565
Phone (850) 675-4000

4624 Summerdale Blvd
Pace, FL 32571
Phone (850) 994-3456

7830 Pine Forest Rd
Bldg A
Pensacola, FL 32526

Organizations & group practices 3

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": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1669101838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W DETROIT BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325343706",
            "telephone_number": "256-226-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 PINE FOREST RD BLDG A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325268782",
            "telephone_number": "850-741-6715",
            "fax_number": "850-204-0489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4624 Summerdale Blvd.",
            "address_purpose": "LOCATION",
            "city": "Pace",
            "state": "FL",
            "postal_code": "32571",
            "country_code": "US",
            "telephone_number": "850-994-3456",
            "fax_number": "850-994-3476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "WHITNEY",
        "middle_name": "ELONA",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.