Cara Dawn White

Individual provider Active NPI Registered Nurse · Charleston, WV

NPI 1083563282 · NPPES record last updated Jan 22, 2026

Key facts

NPI
1083563282
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
119915 (WV)
Practice address
400 Tracy Way Ste 100
Charleston, WV 25311-1280
Phone
(304) 720-0205
NPI assigned
Jan 22, 2026
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
119915WVMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mountaineer Homecare, LLC Past Accepting new patients
Primary Care at Home of West Virginia, LLC Single Specialty Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
163W00000X 119915 WV Yes

Addresses

Primary practice location

400 Tracy Way Ste 100
Charleston, WV 25311-1280

Mailing address

4206 Venable Ave
Charleston, WV 25304-2416
Phone (304) 239-9251

Other providers in Charleston, WV

All providers in Charleston, WV · Registered Nurse in West Virginia

Sources for this page

Verify at the official NPI Registry.