Brandy Morgan Whilden

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA17505 Issued in FL

Practice address

619 S Marion Ave FL 5808
Lake City, FL 32025-5808

Phone

(386) 697-5867

NPI assigned

Nov 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1992273098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13604 SE COUNTY ROAD 132",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "320524062",
            "telephone_number": "386-697-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S MARION AVE FL 5808",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255808",
            "telephone_number": "386-697-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHILDEN",
        "first_name": "BRANDY",
        "middle_name": "MORGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ8928",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508815630",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aliyatta Paullone Weston, MS IN PSYCHOLOGY
• Casandra Wheeler, PHYSICAL THERAPIST
• Christie Lorraine Cason Wheeler, DMD
• Sondra Wheeler, PA-C
• Whiddon Construction Co., Inc.
• Misty Dawn Whitaker, B.A. DEGREE
• Nicole Carlton White, LMHC
• Wrane Xavier White
• Amapola Dumlao Whiteside, MD
• Wendy Whitfield, PT

• Speech-Language Pathologist in Lake City, FL
• Providers in Lake City, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.