Whitney Storm Charisma, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9331148 Issued in FL

Practice address

1120 Lexington Green LN Ste a
Sanford, FL 32771-1022

Phone

(407) 900-1394

NPI assigned

Jun 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Whitney Faith Hetzel Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 27)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661

  FL

  Medicare reassignment NPD
• Blacksheep Medicine LLC

  • Family Nurse Practitioner
  • Sanford, FL
  • NPI 1467236877
  NPD Authorized official
• Welltrackone Corporation

  • Specialist
  • Hilton Head Island, SC
  • NPI 1770367468
  NPD
• Openloop Healthcare Partners California PC

  • General Practice Physician
  • Palm Desert, CA
  • NPI 1659042331
  NPD (past)

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1174972301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 522691",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327522691",
            "telephone_number": "407-900-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 LEXINGTON GREEN LN STE A",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711022",
            "telephone_number": "407-900-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARISMA",
        "first_name": "WHITNEY",
        "middle_name": "STORM",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "FL",
            "license": "9331148",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9331148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103694100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "HETZEL",
            "middle_name": "FAITH",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Camielle Casalena Cha, MS, CCC-SLP
• Giovanna Brittney Chambers, DC
• Ramon Chamy, PHARM.D.
• Anjali Chandrashekar
• Francisco Chang Yang, M.D.
• Camita Charite, NP
• Lawren Charles-Lagarino, LMFT
• Pauline Valarie Chaves
• CHC Sanford LLC (Connected Health Sanford)
• Savery Cherenfant

• Family Nurse Practitioner in Sanford, FL
• Providers in Sanford, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.