Individual provider Active NPI

Jillian Whiffen, FNP-C

  • Family Nurse Practitioner
  • Lutz, FL
National Provider Identifier
1750006813
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10220400 Issued in FL
Practice address
19686 Long Lake Ranch Blvd
Lutz, FL 33558-5493
Phone
(813) 843-7567
NPI assigned
Oct 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10220400 FL Primary

Addresses

Primary practice location

19686 Long Lake Ranch Blvd
Lutz, FL 33558-5493

Mailing address

19686 Long Lake Ranch Blvd
Lutz, FL 33558-5493
Phone (813) 843-7567

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F10220400FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reproductive Medicine & Fertility Center Past Accepting new patients

Organizations & group practices 1

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": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1750006813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19686 LONG LAKE RANCH BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585493",
            "telephone_number": "813-843-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19686 LONG LAKE RANCH BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585493",
            "telephone_number": "813-843-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIFFEN",
        "first_name": "JILLIAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F10220400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.