Individual provider Active NPI

Jimmie Lewis White III, RN

  • Rheumatology Physician
  • Colorado Springs, CO
National Provider Identifier
1023755600
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
RN0186732 Issued in CO
Practice address
3920 N Union Blvd
Colorado Springs, CO 80907-4900
Phone
(719) 755-6472
NPI assigned
May 16, 2022
Last updated
May 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X RN0186732 CO Primary

Addresses

Primary practice location

3920 N Union Blvd
Colorado Springs, CO 80907-4900

Mailing address

3924 Jasmine St
Colorado Springs, CO 80907-4526
Phone (719) 499-6308

Other practice location 1

3920 N Union Blvd
Colorado Springs, CO 80907-4900
Phone (719) 755-6472

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jimmie.2l.white@kp.org Direct
Direct Messaging Address jimmie.l2.white@KP.org

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN0186732COMDRheumatology Physician

Interoperability endpoints

  • Direct secure messaging: jimmie.l2.white@kp.org

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1023755600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 JASMINE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074526",
            "telephone_number": "719-499-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074900",
            "telephone_number": "719-755-6472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3920 N Union Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809074900",
            "country_code": "US",
            "telephone_number": "719-755-6472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JIMMIE",
        "middle_name": "LEWIS",
        "name_suffix": "III",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CO",
            "license": "RN0186732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jimmie.2l.white@kp.org",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3920 N Union Blvd",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809074900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jimmie.l2.white@KP.org",
            "affiliation": "N",
            "address_1": "3920 N Union Blvd",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809074900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.