Individual provider Active NPI

Haylie Whittenburg, APRN FNP-C

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1245716836
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9369686 Issued in FL
Practice address
280 Dundas Dr
Jacksonville, FL 32218-5517
Phone
(904) 751-4906
Fax
(904) 714-3574
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9369686 FL Primary
Nurse Practitioner 363L00000X APRN9369686 FL

Addresses

Primary practice location

280 Dundas Dr
Jacksonville, FL 32218-5517

Mailing address

330 Corporate Way Ste 200
Orange Park, FL 32073-6214
Phone (904) 282-6331

Other practice location 1

1811 Blanding Blvd Ste 102
Middleburg, FL 32068-4935
Phone (904) 661-2394

Other practice location 2

421 Kingsley Ave Ste 401
Orange Park, FL 32073-4898
Phone (904) 661-2394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181113003217 FL Practitioner - Nurse Practitioner 1557615309 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Physicians Group Services PAGroup PAC ID 1254238579, 91 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

280 Dundas Dr
Jacksonville, FL 32218-5517
Phone (904) 751-4906

PO Box
Melrose, FL 32666-1099

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9369686FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amelia Urgent Care LLC CurrentSince Mar 1, 2019 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jun 28, 2021 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Jun 28, 2021 Accepting new patients
Physicians Group Services PA Nurse Practitioner CurrentSince May 1, 2024 Accepting new patients
Amelia Urgent Care LLC CurrentSince Mar 1, 2019 Accepting new patients
Physicians Group Services PA Family CurrentSince May 1, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Physicians Group Services PA Past Accepting new patients

Locations

96279 Brady Point Rd
Fernandina Beach, FL 32034
Phone (904) 321-0088

280 Dundas Dr
Jacksonville, FL 32218
Phone (904) 751-4906

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1811 Blanding Blvd
Ste 102
Middleburg, FL 32068
Phone (904) 456-0017

705 Wells Rd
#300
Orange Park, FL 32073
Phone (904) 282-5474

421 Kingsley Ave
Ste 400
Orange Park, FL 32073
Phone (904) 204-5000

421 Kingsley Ave
Ste 401
Orange Park, FL 32073
Phone (904) 264-9388

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

463380 State Road 200
Unit B
Yulee, FL 32097
Phone (904) 468-3080

3435 Second St S
Folkston, GA 31537
Phone (912) 467-0041

Interoperability endpoints

  • Direct secure messaging: haylie.whittenburg.1@25110.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1245716836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CORPORATE WAY STE 200",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320736214",
            "telephone_number": "904-282-6331",
            "fax_number": "904-866-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 DUNDAS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322185517",
            "telephone_number": "904-751-4906",
            "fax_number": "904-714-3574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1811 Blanding Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Middleburg",
            "state": "FL",
            "postal_code": "320684935",
            "country_code": "US",
            "telephone_number": "904-661-2394",
            "fax_number": "904-621-9105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Kingsley Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734898",
            "country_code": "US",
            "telephone_number": "904-661-2394",
            "fax_number": "904-621-9105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTENBURG",
        "first_name": "HAYLIE",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9369686",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9369686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.