Active NPI
Stanley Franklin Whittaker, ANP
- Family Nurse Practitioner
- Blountstown, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP2582432
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP2308 | Medicaid | AK |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 587 | AK | MD | Professional Counselor |
Practice roles
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
- https://fhir-usa.unify.chbase.com/org/liberty-4ff80e3e
- 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.
-
- Primary Care Clinic/Center
- Hosford, FL
- NPI 1447830070
-
- Emergency Care Clinic/Center
- Blountstown, FL
- NPI 1649596784
-
dba Gadsden County EMS
- Ambulance
- Quincy, FL
- NPI 1700856754
-
dba Weems Medical Center East
- Rural Health Clinic/Center
- Carrabelle, FL
- NPI 1033438627
-
dba Doctors Memorial Hospital
- Critical Access Hospital
- Bonifay, FL
- NPI 1366431702
-
- Nurse Practitioner
- Marianna, FL
- NPI 1972473932
-
- Skilled Nursing Facility
- Blountstown, FL
- NPI 1033434196
-
dba Calhoun-Liberty Primary Care Clinic
- Primary Care Clinic/Center
- Blountstown, FL
- NPI 1588944334
-
dba Weems Medical Center West
- Rural Health Clinic/Center
- Apalachicola, FL
- NPI 1649516899
-
dba George E Weems Memorial Hospital
- Critical Access Hospital
- Apalachicola, FL
- NPI 1790736767
-
dba Bonifay Rural Health Clinic
- Rural Health Clinic/Center
- Bonifay, FL
- NPI 1952917015
Family
-
- Anatomic Pathology & Clinical Pathology Physician
- Pensacola, FL
- NPI 1114153269
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Blountstown, FL
- NPI 1437253085
-
- Home Health Agency
- Bristol, FL
- NPI 1164299210
-
- General Acute Care Hospital
- Marianna, FL
- NPI 1538108725
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.