Individual provider Active NPI

Bernadette Elisa Whitaker, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tarpon Springs, FL
National Provider Identifier
1881788248
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARPN1384512 Issued in FL
Practice address
1501 S Pinellas Ave Ste Q
Tarpon Springs, FL 34689-1952
Phone
(727) 389-9558
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARPN1384512 FL Primary

Addresses

Primary practice location

1501 S Pinellas Ave Ste Q
Tarpon Springs, FL 34689-1952

Mailing address

4287 Tremblay Way
Palm Harbor, FL 34685-2645
Phone (727) 709-6886

Other practice location 1

1437 S Belcher Rd
Clearwater, FL 33764-2829
Phone (727) 524-4464

Other identifiers 1

IdentifierTypeStateIssuer
117036900MedicaidFL

Other names 1

  • Bernadette Ackerman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040315000848 FL Practitioner - Nurse Practitioner 4789573908
I20201026003038 CA Practitioner - Nurse Practitioner 4789573908 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARPN1384512FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Solutions for Children, Families and Individuals Current Accepting new patients
Michelle R Scargle MD PA CurrentSince Jan 17, 2024 Accepting new patients
Community Solutions for Children, Families and Individuals CurrentSince Oct 1, 2020 Accepting new patients
Community Solutions for Children, Families and Individuals CurrentSince Oct 1, 2020 Accepting new patients
Vericare of Florida, Inc. Psychiatric/Mental Health Past Accepting new patients

Locations

9015 Murray Ave
Ste 100
Gilroy, CA 95020
Phone (408) 665-4908

16264 Church St
Ste 103
Morgan Hill, CA 95037
Phone (408) 225-9163

2329 Sunset Point Rd
Ste 203
Clearwater, FL 33765
Phone (727) 446-7756

2454 N McMullen Booth Rd
Ste 502
Clearwater, FL 33759
Phone (727) 265-8770

Organizations & group practices 5

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1881788248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4287 TREMBLAY WAY",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852645",
            "telephone_number": "727-709-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S PINELLAS AVE STE Q",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891952",
            "telephone_number": "727-389-9558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1437 S Belcher Rd",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337642829",
            "country_code": "US",
            "telephone_number": "727-524-4464",
            "fax_number": "727-538-7272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "BERNADETTE",
        "middle_name": "ELISA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARPN1384512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117036900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERNADETTE",
            "last_name": "ACKERMAN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tarpon Springs, FL

Sources for this page

Verify at the official NPI Registry.