Active NPI
Amanda Marie White, STNA
- Nurse's Aide
- Frankfort, OH
National Provider Identifier
1063625077
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2010.
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 376K00000X
- Practice address
- 9180 State Route 28
Frankfort, OH 45628-9573 - Phone
- (740) 645-7779
- NPI assigned
- May 7, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 376K00000X | OH | Primary |
Addresses
Primary practice location
9180 State Route 28
Frankfort, OH 45628-9573
Mailing address
9180 State Route 28
Frankfort, OH 45628-9573
Phone (740) 645-7779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2649487 | Medicaid | OH |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 376K00000X | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063625077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9180 STATE ROUTE 28",
"city": "FRANKFORT",
"state": "OH",
"postal_code": "456289573",
"telephone_number": "740-645-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9180 STATE ROUTE 28",
"city": "FRANKFORT",
"state": "OH",
"postal_code": "456289573",
"telephone_number": "740-645-7779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "AMANDA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "STNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "376K00000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2649487",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frankfort, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.