Nicole White-Madolora

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

5998 Alcala Park
San Diego, CA 92110-8001

Phone

(619) 260-4600

NPI assigned

Mar 17, 2021

Last updated

Mar 17, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1033794391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9773 SUN KOSI WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957578124",
            "telephone_number": "916-213-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5998 ALCALA PARK",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921108001",
            "telephone_number": "619-260-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE-MADOLORA",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nwhitemadolora012@ponitloma.edu",
            "affiliation": "N",
            "address_1": "5998 Alcala Park",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921108001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Judith Ann Whitcher, LPCC
• Emily L Whitcomb, M.D.
• Kate M Whitcomb
• Tera Lee Whitcomb
• White Cross Drug Store
• Carol Ann White-Melton
• Aimee J White, RN
• Alexis White
• Allison D White, AGACNP-BC
• Amy White, LCSW

• Athletic Trainer in San Diego, CA
• Providers in San Diego, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.