Individual provider Active NPI

Jeffrey O'Neal White, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Delhi, LA
National Provider Identifier
1033559174
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP07482 Issued in LA
Practice address
501 Broadway St
Delhi, LA 71232-3001
Phone
(318) 878-6650
Fax
(318) 878-2880
NPI assigned
Jul 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP.07482 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP07482 LA Primary

Addresses

Primary practice location

501 Broadway St
Delhi, LA 71232-3001

Mailing address

8425 Highway 17
Winnsboro, LA 71295-5424
Phone (318) 381-2397

Other practice location 1

5745 Highway 17
Winnsboro, LA 71295-5688
Phone (318) 722-3333

Other identifiers 3

IdentifierTypeStateIssuer
2348337MedicaidLA
13944619OtherCAQH
F06131093OtherCERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20131030000178 LA Practitioner - Nurse Practitioner 9133354178 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

407 Cincinnati St
Delhi, LA 71232-3007
Phone (318) 878-5171

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP.07482LAMDFamily Nurse Practitioner
AP07482LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No 1-a of the Parish of Richland State of la CurrentSince Aug 1, 2020 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Aug 1, 2018 Accepting new patients
T & T Klick, LLC CurrentSince Sep 1, 2013 Accepting new patients
Hospital Service District No 1-a of the Parish of Richland State of la CurrentSince Aug 1, 2020 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Aug 1, 2018 Accepting new patients

Locations

501 Broadway St
Delhi, LA 71232
Phone (318) 878-6650

407 Cincinnati St
Delhi, LA 71232
Phone (318) 878-5171

109 Elm St
Delhi, LA 71232
Phone (318) 878-6650

107 Lela St
Mangham, LA 71259
Phone (318) 248-4100

5745 Highway 17
Winnsboro, LA 71295
Phone (318) 722-3333

2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482

Interoperability endpoints

  • Direct secure messaging: jeffrey.white.1@13199.direct.athenahealth.com

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1033559174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8425 HIGHWAY 17",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712955424",
            "telephone_number": "318-381-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BROADWAY ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712323001",
            "telephone_number": "318-878-6650",
            "fax_number": "318-878-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5745 Highway 17",
            "address_purpose": "LOCATION",
            "city": "Winnsboro",
            "state": "LA",
            "postal_code": "712955688",
            "country_code": "US",
            "telephone_number": "318-722-3333",
            "fax_number": "318-722-6444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JEFFREY",
        "middle_name": "O'NEAL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP.07482",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP07482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2348337",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13944619",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION",
            "identifier": "F06131093",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delhi, LA

Sources for this page

Verify at the official NPI Registry.