Individual provider Active NPI

Timothy H Wheaton, MSN-ED, APRN PMHNP-B

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1336824820
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11043704 Issued in FL
Practice address
930 Alicia Rd
Lakeland, FL 33801-2104
Phone
(833) 769-3524
NPI assigned
Jun 21, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 9588368 FL
Registered Nurse 163W00000X 9588368 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11043704 FL Primary
Pastoral Counselor 101YP1600X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 117162-23 NH

Addresses

Primary practice location

930 Alicia Rd
Lakeland, FL 33801-2104

Mailing address

930 Alicia Rd
Lakeland, FL 33801-2104
Phone (833) 769-3524

Other practice location 1

2306 Ashley Oaks Cir Ste 101
Zephyrhills, FL 33544-6435
Phone (813) 605-1122

Other practice location 2

4419 Park Blvd N
Pinellas Park, FL 33781-3540
Phone (813) 605-1122

Other practice location 3

5147 S Lakeland Dr Ste 1
Lakeland, FL 33813-2610
Phone (813) 605-1122

Other practice location 4

1170 Nikki View Dr
Brandon, FL 33511-4868
Phone (813) 605-1122

Other practice location 5

6511 Gunn Hwy
Tampa, FL 33625-4021
Phone (813) 605-1122

Other practice location 6

3852 Indian River Ct
Lakeland, FL 33811-1886
Phone (863) 316-5446

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
I20260411000073 FL Practitioner - Nurse Practitioner 4183199789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upshaw TMS LLCGroup PAC ID 3678819349, 13 clinicians

Practice addresses (Care Compare)

6511 Gunn Hwy
Tampa, FL 33625-4021
Phone (813) 605-1122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9588368FLMDPsychiatric/Mental Health Registered Nurse
APRN11043704FLMDPsychiatric/Mental Health Nurse Practitioner
117162-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurospa TMS LLC CurrentSince Mar 2, 2026 Accepting new patients
Upshaw TMS LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

1170 Nikki View Dr
Brandon, FL 33511
Phone (813) 605-1122

5147 S Lakeland Dr
Ste 1
Lakeland, FL 33813
Phone (863) 262-7881

4419 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 318-4621

6511 Gunn Hwy
Tampa, FL 33625
Phone (813) 605-1122

2306 Ashley Oaks Cir
Ste 101
Zephyrhills, FL 33544
Phone (813) 322-6776

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1336824820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 ALICIA RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338012104",
            "telephone_number": "833-769-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 ALICIA RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338012104",
            "telephone_number": "833-769-3524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2306 Ashley Oaks Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335446435",
            "country_code": "US",
            "telephone_number": "813-605-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4419 Park Blvd N",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337813540",
            "country_code": "US",
            "telephone_number": "813-605-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5147 S Lakeland Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338132610",
            "country_code": "US",
            "telephone_number": "813-605-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1170 Nikki View Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335114868",
            "country_code": "US",
            "telephone_number": "813-605-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6511 Gunn Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336254021",
            "country_code": "US",
            "telephone_number": "813-605-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3852 Indian River Ct",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338111886",
            "country_code": "US",
            "telephone_number": "863-316-5446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEATON",
        "first_name": "TIMOTHY",
        "middle_name": "H",
        "name_prefix": "Prof.",
        "credential": "MSN-ED, APRN PMHNP-B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-21",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9588368",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9588368",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11043704",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "117162-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.