Caroline White-Smith, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9109516 Issued in FL

Practice address

3400 26TH Ave S
St Petersburg, FL 33711-3537

Phone

(323) 436-5019

Fax

(323) 337-9142

NPI assigned

Mar 8, 2007

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

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JAGFCD/Endpoint/JAGFCD

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1063543643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 CHAMPIONS GATE BLVD STE 215",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968312",
            "telephone_number": "407-479-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 26TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337113537",
            "telephone_number": "323-436-5019",
            "fax_number": "323-337-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE-SMITH",
        "first_name": "CAROLINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David D Whitaker, DMD, MS
• John Whitaker, LMHC
• Laquanda Whitaker
• Robin A Whitburn, LMT
• Teresa White-Nelson, PTA
• Aushaunte F White, APRN
• Brendan White, PT,DPT
• Brittanie Nicole White, RCSWI
• Caitlyn Anne White
• Cherise Denae White

• Physician Assistant in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.