Melody Lynn White

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2107207 Issued in TX

Practice address

8477 S Suncoast Blvd
Homosassa, FL 34446-5028

Phone

(403) 348-9919

NPI assigned

Aug 23, 2018

Last updated

Mar 12, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Baptist Hospitals of Southeast Texas

  dba Baptist Beaumont Hospital

  • Community/Retail Pharmacy
  • Beaumont, TX
  • NPI 1356984439
  NPD (past)
• Pinnacle Physical Therapy Services

  • Physical Therapy Clinic/Center
  • Beaumont, TX
  • NPI 1679018519
  NPD (past)

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1043791585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8477 S SUNCOAST BLVD",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465028",
            "telephone_number": "403-348-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8477 S SUNCOAST BLVD",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465028",
            "telephone_number": "403-348-9919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4025 Eastex Fwy",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777067146",
            "country_code": "US",
            "telephone_number": "409-347-8585",
            "fax_number": "409-750-7772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MELODY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2107207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles E Webster, PA
• Kellie Wertepny
• West Florida Medical Associates, PA (Suncoast Primary Care Specialists)
• Betty Westbrook
• Curtis Whetzel, DPT
• Miriam Elizabeth Whitten
• Shawn Scott Wilkerson
• Hany Williams, DMD
• Kendra Wilson, COTA
• Theresa Audrey Winnie, PTA

• Physical Therapy Assistant in Homosassa, FL
• Providers in Homosassa, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.