Individual provider Active NPI

Jill Marie White, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Coeur d'Alene, ID
National Provider Identifier
1073837472
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP-1397A Issued in ID
Practice address
3700 W Seltice Way
Coeur D Alene, ID 83814-8921
Phone
(208) 620-5255
NPI assigned
Mar 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60533440 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 23667 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP-1397A ID Primary
Registered Nurse 163W00000X N-29302 ID
Psychiatric/Mental Health Registered Nurse 163WP0808X 806071 CA

Addresses

Primary practice location

3700 W Seltice Way
Coeur D Alene, ID 83814-8921

Mailing address

PO Box 1387
Hayden, ID 83835-1387

Other practice location 1

924 S Pines Rd
Spokane Valley, WA 99206-5423
Phone (509) 444-8200

Other practice location 2

913 W Canfield Ave
Coeur D Alene, ID 83815-9764
Phone (208) 819-7103

Other practice location 3

15812 E Indiana Ave Ste 100
Spokane Valley, WA 99216-1875
Phone (509) 444-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140422002365 ID Practitioner - Nurse Practitioner 6608008867 Reassigns benefits to 2 organizations
I20151104000302 WA Practitioner - Nurse Practitioner 6608008867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dirne Health Centers IncGroup PAC ID 2466353354, shared by 11 NPIs, 82 clinicians

Practice addresses (Care Compare)

1090 W Park PL
Coeur D Alene, ID 83814-2785
Phone (208) 292-0290

120 S 13TH St
St Maries, ID 83861-1627
Phone (208) 245-4363

3700 W Seltice Way
Coeur D Alene, ID 83814-8921
Phone (208) 620-5255

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
806071CAMDRegistered Dietitian
N-29302IDMDRegistered Nurse
23667CAMDPsychiatric/Mental Health Nurse Practitioner
NP-1397AIDMDPsychiatric/Mental Health Nurse Practitioner
AP60533440WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dirne Health Centers, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Mind and Body Restored CurrentSince Apr 1, 2023 Accepting new patients
Dirne Health Centers, Inc. Current Accepting new patients
Dirne Health Centers, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Chiropractic Plus PastSince Jul 1, 2021 Accepting new patients

Locations

3700 W Seltice Way
Coeur D Alene, ID 83814
Phone (208) 620-5250

913 W Canfield Ave
Coeur D Alene, ID 83815
Phone (208) 819-7103

2205 N Ironwood Pl
Coeur D Alene, ID 83814
Phone (208) 292-0303

1090 W Park Pl
Coeur D Alene, ID 83814
Phone (208) 215-2005

740 McKinley Ave
Kellogg, ID 83837
Phone (208) 783-1267

925 E Polston Ave
Post Falls, ID 83854
Phone (208) 618-0787

14775 N Kimo Ct
Ste B
Rathdrum, ID 83858
Phone (208) 687-5627

16760 N Highway 41
Rathdrum, ID 83858
Phone (208) 687-5627

120 S 13th St
St Maries, ID 83861
Phone (208) 245-4363

Interoperability endpoints

  • Direct secure messaging: jill.white.1@16899.direct.athenahealth.com

Organizations & group practices 6

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 1

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": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1073837472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1387",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838351387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W SELTICE WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838148921",
            "telephone_number": "208-620-5255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "924 S Pines Rd",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992065423",
            "country_code": "US",
            "telephone_number": "509-444-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "913 W Canfield Ave",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838159764",
            "country_code": "US",
            "telephone_number": "208-819-7103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15812 E Indiana Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161875",
            "country_code": "US",
            "telephone_number": "509-444-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60533440",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "23667",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "NP-1397A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "N-29302",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "806071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.