Individual provider Active NPI

Alice Ann Whittington-Gulba, FNP-C

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1972946606
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11034008 Issued in FL
Practice address
6405 N Federal Hwy Ste 401
Fort Lauderdale, FL 33308-1421
Phone
(954) 958-5150
Fax
(954) 958-5155
NPI assigned
Apr 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11034008 FL Primary
Family Nurse Practitioner 363LF0000X AP4955 AZ

Addresses

Primary practice location

6405 N Federal Hwy Ste 401
Fort Lauderdale, FL 33308-1421

Mailing address

1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 958-5150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20130605000519 AZ Practitioner - Nurse Practitioner 0749428654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
84.05
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians, LLC CurrentSince Aug 1, 2019 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Aug 1, 2019 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

6130 N La Cholla Blvd
Ste 250
Tucson, AZ 85741
Phone (520) 219-8690

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1972946606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW 49TH ST STE 125",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093750",
            "telephone_number": "954-958-5150",
            "fax_number": "954-958-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 N FEDERAL HWY STE 401",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081421",
            "telephone_number": "954-958-5150",
            "fax_number": "954-958-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTINGTON-GULBA",
        "first_name": "ALICE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11034008",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4955",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.