Taffy Katrina White, MLS(ASCP)CM

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

License

TN42924 Issued in FL

Practice address

3220 Moody Ave
Orange Park, FL 32065-6809

Phone

(609) 723-4657

NPI assigned

Sep 23, 2012

Last updated

Sep 23, 2012By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1348358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348358400000",
    "number": "1073864617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 MOODY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320656809",
            "telephone_number": "609-723-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 MOODY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320656809",
            "telephone_number": "609-723-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TAFFY",
        "middle_name": "KATRINA",
        "name_prefix": "Mrs.",
        "credential": "MLS(ASCP)CM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-23",
        "last_updated": "2012-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "FL",
            "license": "TN42924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenna Colleen White, CNM, ARNP
• Marlene White, LMHC
• Matthew David White, PT
• Shannon White, PT
• Sharon Lynn White
• Zsa Zsa Chantal Whyce, DO
• Janet Wilbanks, OTR/L
• John D Wilcox Jr., MD
• Monica Wilcox, PT
• Ashley Lynn Wildasin, RBT

• Medical Technologist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Medical Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.