Courtney Wilder-Whiting, FNP-C, PMHNP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

PMH01260116 Issued in FL

Practice address

2780 E Fowler Ave # 601
Tampa, FL 33612-6297

Phone

(813) 444-2276

Fax

(614) 412-2522

NPI assigned

Mar 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Other identifiers 1

Other names 1

• Courtney McEntire Former name

Medicare fee-for-service enrollment

Enrolled in OH

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, 2025

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Buckeye ClinicGroup PAC ID 7810237666, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Buckeye Clinic

  • Addiction Medicine (Family Medicine) Physician
  • Columbus, OH
  • NPI 1366992893
  Medicare reassignment Care Compare group NPD
• Clearlane Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tampa, FL
  • NPI 1235066945
  NPD Authorized official
• Buckeye Clinic

  • Clinical Medical Laboratory
  • Dublin, OH
  • NPI 1154823953
  NPD
• Buckeye Clinic

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1366029415
  NPD
• Buckeye Clinic

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
  • NPI 1174115034
  NPD (past)

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1346600558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 E FOWLER AVE # 601",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126297",
            "telephone_number": "813-444-2276",
            "fax_number": "614-412-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 E FOWLER AVE # 601",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126297",
            "telephone_number": "813-444-2276",
            "fax_number": "614-412-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Alaskan Way S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981042785",
            "country_code": "US",
            "telephone_number": "813-444-2276",
            "fax_number": "614-412-2522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Clearwater Largo Rd N",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337702335",
            "country_code": "US",
            "telephone_number": "727-766-0503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3121 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432041306",
            "country_code": "US",
            "telephone_number": "614-869-2002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILDER-WHITING",
        "first_name": "COURTNEY",
        "credential": "FNP-C, PMHNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11024193",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP70132570",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "18936",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "PMH01260116",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "APRN-RNP341026",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "PMH01260116",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.18936",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11024193",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0168022",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "MCENTIRE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yealeisea Nae'Trina Wilcox, PHARMD
• Anna Wild
• Kelli Wild, MSW, RCSWI
• Adam Wilde
• Rachel Wilde
• Casandra Wilder
• Rebecca E Wilder, DPT
• Richard Barry Wilder, M.D.
• Sean M Wilder, APRN-C
• Linda Mae Wildfong, BS

• Psychiatric/Mental Health Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.