Stephanie Smith White, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN087917 Issued in GA

Practice address

713 Andrews Dr
Thomaston, GA 30286-4524

Phone

(770) 358-5252

Fax

(706) 646-6039

NPI assigned

Apr 30, 2019

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

State licenses

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1023672672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 ANDREWS DR",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302864524",
            "telephone_number": "770-358-5252",
            "fax_number": "706-646-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 ANDREWS DR",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302864524",
            "telephone_number": "770-358-5252",
            "fax_number": "706-646-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "STEPHANIE",
        "middle_name": "SMITH",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN087917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jecoria Walton
• Reginald H Warren Jr., MD
• Katherine Joy Waterhouse, RBT
• Kimberly Wells
• Jawanda Lynette West, PHARM.D
• Anita Cestello Whitmore, LPC
• Joseph Gary Wilkins
• Tajanai Nakylar Elizabeth Wilkins
• Thomas Edward Wilkins, LDO
• William B. Gardner, D.M.D. P.C.

• Licensed Practical Nurse in Thomaston, GA
• Providers in Thomaston, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.