Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Shaughn Randall Whittaker

Individual provider Family Nurse Practitioner · NPI 1932753456

Mr. Shaughn Randall Whittaker is a Nurse Practitioner in Orlando, Florida. Qualified in 2019, 7 years ago. Practices with Health First Medical Group, LLC, a 688-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Florida.

Years since qualifying
7
Licensed in
CA, FL
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

1720 S Orange Ave
Orlando, FL 32806-2945
Phone: (321) 842-9000
Fax: (321) 843-6326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 410 Celebration Pl Ste 106, Celebration, FL 34747-5432 — (407) 303-2615
  • 1350 Hickory St, Melbourne, FL 32901-3224 — (321) 434-1771

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN11002533 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11002533 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95012121 (CA)

Record details

NPI number1932753456
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 1, 2019
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Health First Medical Group, Llc — 688 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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