Whitney Sleep Associates LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

39456 Issued in MN

Legal business name

WHITNEY SLEEP ASSOCIATES LLC

Doing business as

Whitney Sleep Center

Practice address

2700 Campus Dr
Suite 100
Plymouth, MN 55441-2601

Phone

(763) 519-0634

Fax

(763) 519-0636

NPI assigned

May 11, 2006

Last updated

Oct 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Courtney Wade Whitney, DONPI 1861461329

Title

President

Phone

(763) 519-0634

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Whitney Sleep Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Whitney Sleep Associates LLC

  dba Whitney Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Burnsville, MN
  • NPI 1215167853

  O20031229000200

  Same enrollment

Tax ID family

Whitney Sleep Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Whitney Sleep Associates

  dba Whitney Sleep Center

  • Durable Medical Equipment & Medical Supplies
  • Plymouth, MN
  • NPI 1932257359
  NPD tax ID
• Whitney Sleep Associates LLC

  dba Whitney Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Burnsville, MN
  • NPI 1215167853
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Courtney Wade Whitney, D.O.

  • Sleep Medicine (Internal Medicine) Physician
  • Plymouth, MN
  • NPI 1861461329
  NPD Authorized official
• Alfred P. Chiang, D.O.

  • Internal Medicine Physician
  • Plymouth, MN
  • NPI 1043243827
  NPD

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1801846662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CAMPUS DR",
            "address_2": "SUITE 100",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412601",
            "telephone_number": "763-519-0634",
            "fax_number": "763-519-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CAMPUS DR",
            "address_2": "SUITE 100",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412601",
            "telephone_number": "763-519-0634",
            "fax_number": "763-519-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITNEY SLEEP ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-519-0634",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "MN",
            "license": "39456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376913000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitney Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha White
• Ryann Elizabeth Whitely, MA, LPCC
• Cassandra Whiteside, OTR/L
• Catherine Whiting, M.D.
• Whitney Sleep Associates (Whitney Sleep Center)
• Courtney Wade Whitney, D.O.
• Nathan Michael Wick, DO
• Thane David Widmer, DPT
• Krista Jean Wieneke
• Jennifer Lynn Wiita, CRNA

• Sleep Disorder Diagnostic Clinic/Center in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Sleep Disorder Diagnostic Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.