Audrey Olivia White, DNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R110790 Issued in MD

Practice address

12150 Annapolis Rd Ste 105
Glenn Dale, MD 20769-9183

Phone

(240) 460-1988

Fax

(301) 805-2076

NPI assigned

Oct 26, 2018

Last updated

Sep 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in DC

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capitol Cardiology Associates, LLCGroup PAC ID 6002714649, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CJJDBA/Endpoint/CJJDBA
• FHIR API: https://fhir4.healow.com/fhir/r4/FJDHDD/Endpoint/FJDHDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capitol Cardiology Associates, LLC

  • Cardiovascular Disease Physician
  • Lanham, MD
  • NPI 1609855733

  DC

  Medicare reassignment Care Compare group NPD
• Nurse Practitioner Next Door

  dba TheNPNextDoor

  • Family Nurse Practitioner
  • Bowie, MD
  • NPI 1548944705
  NPD Authorized official
• Nader A Dakak, M.D.

  • Cardiovascular Disease Physician
  • Glenn Dale, MD
  • NPI 1457332652

  DC

  Medicare reassignment

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662249600000",
    "number": "1023585106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD STE 105",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "240-460-1988",
            "fax_number": "301-805-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD STE 105",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "240-460-1988",
            "fax_number": "301-805-2076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Riva Rd",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017304",
            "country_code": "US",
            "telephone_number": "410-571-2090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "AUDREY",
        "middle_name": "OLIVIA",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2022-09-04",
        "certification_date": "2022-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R110790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visionmd, LLC
• Branick Ngombi Wangia
• Beth S Warner, PH.D.
• Patricia A. Warrick, LCSW-C
• R. White-Smith, M.ED
• Kennedi Wickham
• Mary Grace Legaspi Wild, MSN, RN, AGPCNP-BC
• Alexis Wilkerson
• Monica Nicole Williams
• Elisha Nicole Wilson

• Family Nurse Practitioner in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.