Individual provider Active NPI

Dana Omega Whaley, ARNP-C

  • Family Nurse Practitioner
  • Carrabelle, FL
National Provider Identifier
1801838057
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2809662 Issued in FL
Practice address
110 NE 5TH Street
Carrabelle, FL 32322-3529
Phone
(850) 697-2345
Fax
(850) 697-2348
NPI assigned
Jun 12, 2006
Last updated
Mar 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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 ARNP2809662 FL Primary

Addresses

Primary practice location

110 NE 5TH Street
Carrabelle, FL 32322-3529

Mailing address

135 Avenue G
Apalchicola, FL 32320-1613
Phone (850) 653-8853

Other identifiers 1

IdentifierTypeStateIssuer
307732200MedicaidFL

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
I20060920000144 FL Practitioner - Nurse Practitioner 7315942612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 NE 5TH St
Carrabelle, FL 32322-3529
Phone (850) 697-2345

135 Ave G
Apalachicola, FL 32320

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin County Board of County Commissioners CurrentSince Jul 25, 2018 Accepting new patients
Dassee Community Health Systems 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

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

Interoperability endpoints

  • Direct secure messaging: dana.whaley.1@12709.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1801838057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 AVENUE G",
            "city": "APALCHICOLA",
            "state": "FL",
            "postal_code": "323201613",
            "telephone_number": "850-653-8853",
            "fax_number": "850-653-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NE 5TH STREET",
            "city": "CARRABELLE",
            "state": "FL",
            "postal_code": "323223529",
            "telephone_number": "850-697-2345",
            "fax_number": "850-697-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "DANA",
        "middle_name": "OMEGA",
        "name_prefix": "Mrs.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2809662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307732200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrabelle, FL

Sources for this page

Verify at the official NPI Registry.