Active NPI
Elizabeth Katherine Whidden, ARNP
- Nurse Practitioner
- Clearwater, FL
National Provider Identifier
1093018707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP 2889132
- Practice address
- 5771 Roosevelt Blvd
Clearwater, FL 33760-3407 - Phone
- (727) 586-4432
- NPI assigned
- Dec 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP 2889132 | FL | Primary |
Addresses
Primary practice location
5771 Roosevelt Blvd
Clearwater, FL 33760-3407
Mailing address
5771 Roosevelt Blvd
Clearwater, FL 33760-3407
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 |
|---|---|---|---|
| ARNP 2889132 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292803200000",
"number": "1093018707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5771 ROOSEVELT BLVD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337603407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5771 ROOSEVELT BLVD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337603407",
"telephone_number": "727-586-4432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHIDDEN",
"first_name": "ELIZABETH",
"middle_name": "KATHERINE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-20",
"last_updated": "2010-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP 2889132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.