Individual provider Active NPI

Whitney Amanda McFatter

  • Pediatric Nurse Practitioner
  • Lake City, FL
National Provider Identifier
1861337289
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN11046577 Issued in FL
Practice address
285 NW Outlaw Country GLN
Lake City, FL 32055-9212
Phone
(386) 515-5539
NPI assigned
Apr 22, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN11046577 FL Primary

Addresses

Primary practice location

285 NW Outlaw Country GLN
Lake City, FL 32055-9212

Mailing address

285 NW Outlaw Country GLN
Lake City, FL 32055-9212
Phone (386) 515-5539

Other identifiers 1

IdentifierTypeStateIssuer
132425600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

285 NW Outlaw Country GLN
Lake City, FL 32055-9212

PO Box
Suite 748
Lake Butler, FL 32054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11046577FLMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1861337289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 NW OUTLAW COUNTRY GLN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320559212",
            "telephone_number": "386-515-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 NW OUTLAW COUNTRY GLN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320559212",
            "telephone_number": "386-515-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFATTER",
        "first_name": "WHITNEY",
        "middle_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11046577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132425600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.