Individual provider Active NPI

Stanley Franklin Whittaker, ANP

  • Family Nurse Practitioner
  • Blountstown, FL
National Provider Identifier
1760485189
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2582432 Issued in FL
Practice address
20274 Central Ave W
Blountstown, FL 32424-1957
Phone
(850) 353-7689
Fax
(850) 674-8889
NPI assigned
May 31, 2005
Last updated
Oct 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 587 AK
Family Nurse Practitioner 363LF0000X ARNP2582432 FL Primary

Addresses

Primary practice location

20274 Central Ave W
Blountstown, FL 32424-1957

Mailing address

6294 NW Torreya Park Rd
Bristol, FL 32321-2412
Phone (850) 643-2427

Other practice location 1

700 Chief Eddie Hoffman Hwy
Bethel, AK 99559
Phone (970) 675-4456

Other identifiers 1

IdentifierTypeStateIssuer
NP2308MedicaidAK

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
I20060505000693 FL Practitioner - Nurse Practitioner 2567473531 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torreya Health Care IncGroup PAC ID 2860893203, 2 clinicians

Practice addresses (Care Compare)

17316 NE State Rd
Suite 65
Hosford, FL 32334-2415
Phone (850) 379-5800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
587AKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Calhoun-Liberty Hospital Association Inc CurrentSince Oct 1, 2022 Accepting new patients
Franklin County Board of County Commissioners Current Accepting new patients
The Pathology Group of Northwest Florida PLLC Current Accepting new patients
Holmes County Hospital Corp Current Accepting new patients
Calhoun-Liberty Hospital Association Inc CurrentSince Oct 1, 2022 Accepting new patients
Franklin County Board of County Commissioners CurrentSince Mar 1, 2020 Accepting new patients
Calhoun-Liberty Hospital Association Inc CurrentSince Dec 1, 2022 Accepting new patients
County of Gadsden Board County Commissioners CurrentSince Dec 1, 2006 Accepting new patients
Vivid Pathology PA Current Accepting new patients
Franklin County Board of County Commissioners CurrentSince Mar 1, 2020 Accepting new patients
Holmes County Hospital Corp Family CurrentSince Jun 18, 2021 Accepting new patients
Torreya Health Care Inc Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Calhoun Liberty Hospital Association, Inc. Past Accepting new patients
Vale of Paradise Emergency Physicians, LLC Past Accepting new patients

Locations

135 Avenue G
Apalachicola, FL 32320
Phone (850) 653-8853

137 12th St
Apalachicola, FL 32320
Phone (850) 653-1212

16257 State Road 71 S
Blountstown, FL 32424
Phone (850) 674-5411

20370 NE Burns Ave
Blountstown, FL 32424
Phone (850) 237-3000

2600 Hospital Dr
Bonifay, FL 32425
Phone (850) 416-6484

110 NE 5th St
Carrabelle, FL 32322
Phone (850) 697-1118

23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/liberty-4ff80e3e
  • Direct secure messaging: stanley.whittaker.1@23653.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1760485189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6294 NW TORREYA PARK RD",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "323212412",
            "telephone_number": "850-643-2427",
            "fax_number": "850-643-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20274 CENTRAL AVE W",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241957",
            "telephone_number": "850-353-7689",
            "fax_number": "850-674-8889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Chief Eddie Hoffman Hwy",
            "address_purpose": "LOCATION",
            "city": "Bethel",
            "state": "AK",
            "postal_code": "99559",
            "country_code": "US",
            "telephone_number": "970-675-4456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "STANLEY",
        "middle_name": "FRANKLIN",
        "name_prefix": "Mr.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "587",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2582432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2308",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blountstown, FL

Sources for this page

Verify at the official NPI Registry.