Active NPI
Peter White, NP
- Psychiatric/Mental Health Nurse Practitioner
- Riverton, KS
National Provider Identifier
1063614865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 53-75969-051
- Practice address
- 6610 SE Quakervale Rd
Riverton, KS 66770-4185 - Phone
- (620) 848-2300
- Fax
- (620) 848-2301
- NPI assigned
- Jun 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 53-75969-051 | KS | Primary |
Addresses
Primary practice location
6610 SE Quakervale Rd
Riverton, KS 66770-4185
Mailing address
PO Box 550
Riverton, KS 66770-0550
Phone (620) 848-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 525553 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-75969-051 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370304000000",
"number": "1063614865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 550",
"city": "RIVERTON",
"state": "KS",
"postal_code": "667700550",
"telephone_number": "620-848-2300",
"fax_number": "620-848-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6610 SE QUAKERVALE RD",
"city": "RIVERTON",
"state": "KS",
"postal_code": "667704185",
"telephone_number": "620-848-2300",
"fax_number": "620-848-2301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "PETER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-04",
"last_updated": "2013-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "53-75969-051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "525553",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.