Whitney Sleep Diagnostics & Consultants, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WHITNEY SLEEP DIAGNOSTICS & CONSULTANTS, LLC

Practice address

714 Washington Ave
Detroit Lakes, MN 56501-3012

Phone

(218) 844-6150

Fax

(763) 201-5545

NPI assigned

Nov 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Courtney Wade Whitney, D.O.

Title

President

Phone

(763) 519-0634

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Whitney Sleep Diagnostics & Consultants, LLC

  • Clinic/Center
  • Detroit Lakes, MN
  • NPI 1396985073

  8022160431

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Whitney Sleep Diagnostics Consultants LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Whitney Sleep Diagnostics & Consultants, LLC

  • Clinic/Center
  • Detroit Lakes, MN
  • NPI 1396985073
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evelyn Mai, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Danville, PA
  • NPI 1538360904
  NPD (past)

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1932354701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 GRAYSTONE PLZ",
            "address_2": "SUITE 102",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013034",
            "telephone_number": "218-844-6150",
            "fax_number": "763-201-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 WASHINGTON AVE",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013012",
            "telephone_number": "218-844-6150",
            "fax_number": "763-201-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITNEY SLEEP DIAGNOSTICS & CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2014-10-14",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932354701",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie Westhoff, MD
• Ryan Kimberly Weum, D.C.
• Wheelchairs Unlimited, Inc.
• White Drug Enterprises Inc
• Whitney Sleep Diagnostics & Consultants, LLC
• Robin Leslie Wicker, MSW, LICSW, RPT-S
• Anna Wientjes
• Kelsey Wilberg, PT
• Megan Wilke
• Robert John Williams, MA, LADC, LPC, LAC

• Durable Medical Equipment & Medical Supplies in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.