Yvette Renee White, MS,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22002982A Issued in IN

Practice address

3647 Branch Way
Indianapolis, IN 46268-3678

Phone

(317) 989-2229

Fax

(317) 871-2867

NPI assigned

Feb 27, 2007

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Progressive Therapy Services

  • Speech-Language Pathologist
  • Indianapolis, IN
  • NPI 1336272418
  NPD (past) Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003943887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3647 BRANCH WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683678",
            "telephone_number": "317-989-2229",
            "fax_number": "317-871-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3647 BRANCH WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683678",
            "telephone_number": "317-989-2229",
            "fax_number": "317-871-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "YVETTE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22002982A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J White Jr., CST/CFA
• Tiauna Krysten Ruth White
• Valerie Ann White, DDS
• Walter Guy White, MSPT
• Whitney Breanne White, BCBA
• Jason T Whitefoot, CRNA
• Anne C Whitehead, MD
• Demetrius Whitehead, LPN
• Kay E Whitehead, M.S.W., L.C.S.W., CT
• Kevin Moses Whitehead, ED.S

• Speech-Language Pathologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.