Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ALYSSA MARIE WHITAKER
NPI 1124922679
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since October 07, 2026
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204(904) 308-7300 Get Directions Write a Review

NPPES record added: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Alyssa Marie Whitaker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA MARIE WHITAKER (NPI 1124922679) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1124922679
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALYSSA MARIE WHITAKER
Location Address1 SHIRCLIFF WAYJacksonville, FL 32204-4748
Mailing Address683 Hawks Trace DrJacksonville, FL 32225-5401 · (904) 923-2073
Sole ProprietorNo
Enumeration DateOctober 7, 2026
NPPES CertifiedOctober 7, 2026
✔ NPI 1124922679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 SHIRCLIFF WAY, Jacksonville, FL 32204

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Nurse Practitioner (Critical Care Medicine)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY, EMERGENCY DEPARTMENT
JACKSONVILLE, FL 32204
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Emergency Medicine
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Radiology (Diagnostic Radiology)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyssa Whitaker's NPI number?

The NPI number for Alyssa Whitaker is 1124922679. It was assigned to this individual provider in the NPPES registry on October 7, 2026.

Where is Alyssa Whitaker located?

Alyssa Whitaker practices at 1 Shircliff Way, Jacksonville, FL 32204. The listed phone number is (904) 308-7300.

What is Alyssa Whitaker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Alyssa Whitaker was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.