Individual provider Active NPI

Emily Robin White, NP-C

  • Family Nurse Practitioner
  • Anderson, IN
National Provider Identifier
1073071841
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009015A Issued in IN
Practice address
2101 Jackson St Ste 206
Anderson, IN 46016-4388
Phone
(765) 646-8523
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28179475A IN
Family Nurse Practitioner 363LF0000X 71009015A IN Primary

Addresses

Primary practice location

2101 Jackson St Ste 206
Anderson, IN 46016-4388

Mailing address

2101 Jackson St Ste 206
Anderson, IN 46016-4388
Phone (765) 646-8523

Other practice location 1

11700 Olio Rd
Fishers, IN 46037-7618
Phone (317) 436-4950

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emily.white.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190620001358 IN Practitioner - Nurse Practitioner 0345574679 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

2101 Jackson St
Anderson, IN 46016-4387

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

  • Ascension at Home Home health agency, Pendleton, IN, CCN 157059
  • Ascension St Vincent Anderson Hospital, Anderson, IN, CCN 150088
  • Community Hospital of Anderson and Madison County Hospital, Anderson, IN, CCN 150113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28179475AINMDRegistered Nurse
71009015AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Little Clinic of in LLC Family CurrentSince Jun 12, 2019 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

1217 S Rangeline Rd
Carmel, IN 46032
Phone (317) 574-4680

11700 Olio Rd
Fishers, IN 46037
Phone (317) 436-4950

815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146

Interoperability endpoints

  • Direct secure messaging: emily.white.1@7598.direct.athenahealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1073071841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 JACKSON ST STE 206",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164388",
            "telephone_number": "765-646-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 JACKSON ST STE 206",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164388",
            "telephone_number": "765-646-8523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11700 Olio Rd",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460377618",
            "country_code": "US",
            "telephone_number": "317-436-4950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "EMILY",
        "middle_name": "ROBIN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28179475A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009015A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily.white.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "2101 Jackson St Ste 206",
            "city": "Anderson",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460164388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.