Eboni Champale Whitlock, CPT, CNA

Primary specialty

Pathology TechnicianTaxonomy code 246R00000X

License

P9J9G2B9 Issued in KY

Practice address

131 Boxwood Drive
Hopkinsville, KY 42240

Phone

(270) 498-3208

NPI assigned

Nov 22, 2021

Last updated

Nov 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1972260222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 BOXWOOD DRIVE",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "42240",
            "telephone_number": "270-498-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 BOXWOOD DRIVE",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "42240",
            "telephone_number": "270-498-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "EBONI",
        "middle_name": "CHAMPALE",
        "credential": "CPT, CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246R00000X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology",
            "state": "KY",
            "license": "P9J9G2B9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western State Hospital Pharmacy
• Adrienne White
• Talisha White
• Tresa C. White, DMD
• Kati Suzanne Whiteford, FNP-BC
• Lisa Whitmer, APRN
• Eliza Joyce Whitten-Hoskins, MD
• Brittany Whyte
• Kala Wiles
• Linda Willett, PH.D

• Pathology Technician in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Pathology Technician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.