Individual provider Active NPI

Jaime Lou Whiteaker, CRNA

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
National Provider Identifier
1275636144
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP1512002 Issued in FL
Practice address
2861 S Delaney Ave
Ste B
Orlando, FL 32806-2806
Phone
(407) 472-5095
Fax
(865) 777-0910
NPI assigned
Sep 6, 2006
Last updated
Jun 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4721A KY
Certified Registered Nurse Anesthetist 367500000X 1108102 KY
Certified Registered Nurse Anesthetist 367500000X 14271 TN
Certified Registered Nurse Anesthetist 367500000X ARNP1512002 FL Primary

Addresses

Primary practice location

2861 S Delaney Ave
Ste B
Orlando, FL 32806-2806

Mailing address

2861 S Delaney Ave
Ste B
Orlando, FL 32806-2806
Phone (407) 472-5095

Other identifiers 2

IdentifierTypeStateIssuer
430045987OtherFLRAILROAD MEDICARE
G1260ZOtherFLBLUE SHIELD OF FL

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)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1108102KYMDCertified Registered Nurse Anesthetist
4721AKYMDCertified Registered Nurse Anesthetist
14271TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Anesthesia, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients
Cardiac Anesthesia Group PastSince Jun 1, 2001 Accepting new patients
Anesthesia Group of Sarasota PA Past Accepting new patients
Cardiovascular Anesthesia of Wichita, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Cumberland Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Resource Anesthesia Lakeway, Inc. Past Accepting new patients
Pineville Community Hospital Association, Inc. Past Accepting new patients
Professional Anesthesia Associates Past Accepting new patients
Simedhealth LLC PastSince Jan 20, 2018 Accepting new patients
Jackson Clinic PA Past Accepting new patients
Sarasota Anesthesiologists, PA PastSince Jan 26, 2004 Accepting new patients
Pineville Community Hospital Association, Inc. Past Accepting new patients

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1275636144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 S DELANEY AVE",
            "address_2": "STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062806",
            "telephone_number": "407-472-5095",
            "fax_number": "865-777-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 S DELANEY AVE",
            "address_2": "STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062806",
            "telephone_number": "407-472-5095",
            "fax_number": "865-777-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEAKER",
        "first_name": "JAIME",
        "middle_name": "LOU",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "4721A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "1108102",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "14271",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP1512002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430045987",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF FL",
            "identifier": "G1260Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.