Active NPI
Ellery Winghart
- Behavior Technician
- Naples, FL
National Provider Identifier
1699216739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4522 Executive Dr Ste 201
Naples, FL 34119 - Phone
- (239) 330-3500
- NPI assigned
- Mar 8, 2017
- Last updated
- Sep 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
4522 Executive Dr Ste 201
Naples, FL 34119
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (407) 908-7357
Other practice location 1
10771 Crooked River Rd Apt 101
Estero, FL 34135-1735
Phone (262) 309-1651
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1699216739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 INTERNATIONAL PKWY STE 200",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465028",
"telephone_number": "407-908-7357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4522 EXECUTIVE DR STE 201",
"city": "NAPLES",
"state": "FL",
"postal_code": "34119",
"telephone_number": "239-330-3500"
}
],
"practiceLocations": [
{
"address_1": "10771 Crooked River Rd Apt 101",
"address_purpose": "LOCATION",
"city": "Estero",
"state": "FL",
"postal_code": "341351735",
"country_code": "US",
"telephone_number": "262-309-1651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINGHART",
"first_name": "ELLERY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-08",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.