Individual provider Active NPI

Jerri Cie White

  • Certified Registered Nurse Anesthetist
  • Newport News, VA
National Provider Identifier
1093018863
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024169256 Issued in VA
Practice address
500 J Clyde Morris Blvd
Riverside Regional Medical Center
Newport News, VA 23601-1929
Phone
(757) 594-2000
NPI assigned
Dec 16, 2010
Last updated
Mar 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024169256 VA Primary
Registered Nurse 163W00000X 0001222626 VA

Addresses

Primary practice location

500 J Clyde Morris Blvd
Riverside Regional Medical Center
Newport News, VA 23601-1929

Mailing address

3998 Fair Ridge Dr
Ste 300
Fairfax, VA 22033-2921
Phone (703) 295-9360

Other identifiers 1

IdentifierTypeStateIssuer
1093018863MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110512000457 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921284761 Reassigns benefits to 3 organizations
I20230118002844 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921284761 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001222626VAMDRegistered Nurse
0024169256VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of Virginia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 26, 2020 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Commonwealth Anesthesia Associates, P.C. CurrentSince Mar 2, 2011 Accepting new patients
Virginia Anesthesia and Perioperative Care Specialists LLC CurrentSince Jun 26, 2017 Accepting new patients

Locations

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

11212 State Highway 151
Ste 12
San Antonio, TX 78251

403 Treeline Park
San Antonio, TX 78209
Phone (210) 294-8000

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

760 McGuire Pl
Fl 2
Newport News, VA 23601
Phone (757) 591-2260

500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1093018863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR",
            "address_2": "STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332921",
            "telephone_number": "703-295-9360",
            "fax_number": "703-766-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 J CLYDE MORRIS BLVD",
            "address_2": "RIVERSIDE REGIONAL MEDICAL CENTER",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011929",
            "telephone_number": "757-594-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JERRI",
        "middle_name": "CIE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-16",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024169256",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001222626",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093018863",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.