Michelle Lynn Whitten, MSN, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11014699 Issued in FL

Practice address

7109 NW 11TH PL Ste E
Gainesville, FL 32605-3141

Phone

(352) 363-6478

NPI assigned

Oct 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2023 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

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.

• Adrian Lewis, M.D.,P.a.

  • Rehabilitation Practitioner
  • Gainesville, FL
  • NPI 1407988249
  NPD (past)
• Medig Imaging LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Gainesville, FL
  • NPI 1730461021
  NPD (past)

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1902568546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 NW 11TH PL STE E",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053141",
            "telephone_number": "352-363-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 NW 11TH PL STE E",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053141",
            "telephone_number": "352-363-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEN",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ursula Danielle Floyd Whittaker, P.T.
• Wendee Morgan Whittaker, PMHNP
• Ebonie M Whitted
• Lee Mary Whitted, L.M.T.
• Jenae Kelley Whittemore, D.C.
• Marissa V Whitter, LMHC
• Shanda N Whittle
• Stephanie Whittle
• Heather Whittlesey
• Keeley Divita Whittlesey, PA

• Family Nurse Practitioner in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.