Active NPI
Tricia White
- Specialist
- Brooklyn, NY
National Provider Identifier
1023457710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1100 Coney Island Ave
3Rd
Brooklyn, NY 11230-2344 - Phone
- (718) 434-1200
- NPI assigned
- Jun 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 2346721 | NY | |
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1100 Coney Island Ave
3Rd
Brooklyn, NY 11230-2344
Mailing address
521 W 42ND St
8C
New York, NY 10036-6203
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2346721 | Other | NY | SPECIAL EDUCATION TEACHER |
| 2346721 | Other | NY | SPECIALIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2346721 | NY | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1023457710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 W 42ND ST",
"address_2": "8C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100366203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 CONEY ISLAND AVE",
"address_2": "3RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112302344",
"telephone_number": "718-434-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "TRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-17",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NY",
"license": "2346721",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECIAL EDUCATION TEACHER",
"identifier": "2346721",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECIALIST",
"identifier": "2346721",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.