Amanda Shawn Whitaker, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

A005997 Issued in AR

Practice address

1629 Harding Blvd
Cotter, AR 72626-9770

Phone

(870) 435-1629

NPI assigned

Feb 15, 2018

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

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baxter Health Hospital, Mountain Home, AR, CCN 040027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.whitaker@wwi-ar.direct.office.nextgen.com
• Direct secure messaging: amanda.whitaker@bhcawp.eclinicaldirectplus.com

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.

• Cotter Integrative Health and Wellness Studio, PLLC

  • Nurse Practitioner
  • Cotter, AR
  • NPI 1740142900
  NPD Authorized official
• Baxter County Regional Hospital, Inc.

  • Pulmonary Disease Physician
  • Mountain Home, AR
  • NPI 1629405113
  NPD
• Baxter County Regional Hospital, Inc.

  • Family Medicine Physician
  • Mountain Home, AR
  • NPI 1851725139
  NPD
• Women'S Wellness & Aesthetics LLC

  • Family Nurse Practitioner
  • Mountain Home, AR
  • NPI 1255120218

  Family

  NPD
• Women'S Wellness, Inc.

  • Clinic/Center
  • Mountain Home, AR
  • NPI 1184217929

  Family

  NPD
• Baxter County Regional Hospital Inc

  • Neurological Surgery Physician
  • Mountain Home, AR
  • NPI 1720515737
  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

• Baxter County Regional Hospital Inc

  • General Acute Care Hospital
  • Mountain Home, AR
  • NPI 1033147921

  Hospital

  Care Compare affiliation
• Baxter County Regional Hospital, Inc

  • General Acute Care Hospital
  • Mountain Home, AR
  • NPI 1881788933

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1295235331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 HARDING BLVD",
            "city": "COTTER",
            "state": "AR",
            "postal_code": "726269770",
            "telephone_number": "870-435-1629",
            "fax_number": "870-299-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 HARDING BLVD",
            "city": "COTTER",
            "state": "AR",
            "postal_code": "726269770",
            "telephone_number": "870-435-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "AMANDA",
        "middle_name": "SHAWN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "A005997",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902479",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ARKANSAS",
            "identifier": "5EA99",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori A Hershberger, PTA
• Dennis Aaron Hughes, R.T.(R)(MR)
• Adam Perkins
• Henry Poland, COTA
• Vance Vision Clinic PA
• Cebrina Zirbel

• Primary Care Nurse Practitioner in Cotter, AR
• Providers in Cotter, AR by specialty
• Primary Care Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.