Active NPI
Brittani Alyson Whaley, ATC, LAT
- Athletic Trainer
- North Aurora, IL
National Provider Identifier
1740655315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096.004042
- Practice address
- 208 Larchwood LN
North Aurora, IL 60542-1040 - Phone
- (630) 913-7781
- NPI assigned
- Dec 8, 2015
- Last updated
- Jan 13, 2021
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 096.004042 | IL | Primary |
Addresses
Primary practice location
208 Larchwood LN
North Aurora, IL 60542-1040
Mailing address
208 Larchwood LN
North Aurora, IL 60542-1040
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096.004042 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1740655315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 LARCHWOOD LN",
"city": "NORTH AURORA",
"state": "IL",
"postal_code": "605421040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 LARCHWOOD LN",
"city": "NORTH AURORA",
"state": "IL",
"postal_code": "605421040",
"telephone_number": "630-913-7781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEY",
"first_name": "BRITTANI",
"middle_name": "ALYSON",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-08",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096.004042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.