Active NPI
Kathleen M White, DO
- Family Medicine Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4539
- Practice address
- 2419 Gordon Smith Dr
Mobile, AL 36617-2318 - Phone
- (251) 434-3475
- Fax
- (251) 434-3837
- NPI assigned
- Apr 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | VA | ||
| Family Medicine Physician | 207Q00000X | 0102207118 | VA | |
| Family Medicine Physician | 207Q00000X | 4539 | AL | Primary |
Addresses
Primary practice location
2419 Gordon Smith Dr
Mobile, AL 36617-2318
Mailing address
PO Box 35752
Belfast, ME 04915-0635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Alabama College of Osteopathic Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12101 Carol LN
Suite 101
Fredericksburg, VA 22407-6104
Phone (540) 741-9300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Associates of Fredericksburg PTR | Single Specialty | Current | Accepting new patients |
| Mary Washington Hospital, Inc. | Single Specialty | Current | Accepting new patients |
| Mary Washington Hospital Inc. | Single Specialty | Current | Accepting new patients |
Locations
12101 Carol Ln
Ste 101
Fredericksburg, VA 22407
Phone (540) 418-6681
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
Interoperability endpoints
- kwhite108927@marywashingtonhealthcare.direct-ci.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.
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Single Specialty
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
Single Specialty
-
- Anatomic Pathology Physician
- Fredericksburg, VA
- NPI 1033150982
Single Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1083243950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35752",
"city": "BELFAST",
"state": "ME",
"postal_code": "049150635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2419 GORDON SMITH DR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366172318",
"telephone_number": "251-434-3475",
"fax_number": "251-434-3837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "KATHLEEN",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-03",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102207118",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "4539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.