Active NPI
Jennifer White
- Behavior Analyst
- Fairbanks, AK
National Provider Identifier
1023679032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RBT-19-90216
- Practice address
- 3526 Industrial Ave
Fairbanks, AK 99701-7376 - Phone
- (907) 406-1651
- NPI assigned
- Jun 21, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT-19-90216 | Primary |
Addresses
Primary practice location
3526 Industrial Ave
Fairbanks, AK 99701-7376
Mailing address
3246 Storey Dr
North Pole, AK 99705-7414
Phone (907) 521-0639
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Jennwhite574@outlook.com | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1023679032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3246 STOREY DR",
"city": "NORTH POLE",
"state": "AK",
"postal_code": "997057414",
"telephone_number": "907-521-0639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3526 INDUSTRIAL AVE",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997017376",
"telephone_number": "907-406-1651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-21",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "RBT-19-90216",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Jennwhite574@outlook.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3246 Storey Dr",
"city": "North Pole",
"state": "AK",
"country_code": "US",
"postal_code": "997057414",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.