Individual provider Active NPI

Katrina Patrice White, RN, MSN, FNP-BC

  • Family Nurse Practitioner
  • Warrenton, VA
National Provider Identifier
1104180231
Registry record updated Jan 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024-170159 Issued in VA
Practice address
493 Blackwell Rd Ste 202
Warrenton, VA 20186-2689
Phone
(540) 347-4400
NPI assigned
Jul 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024-170159 VA Primary

Addresses

Primary practice location

493 Blackwell Rd Ste 202
Warrenton, VA 20186-2689

Mailing address

493 Blackwell Rd Ste 202
Warrenton, VA 20186-2689
Phone (540) 347-4400

Other identifiers 1

IdentifierTypeStateIssuer
0024-170159OtherVAVA BOARD OF NURSING NURSE PRACTITIONER NUMBER

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121110000218 VA Practitioner - Nurse Practitioner 1759530447 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0024-170159VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Family Practice, PLC CurrentSince May 28, 2020 Accepting new patients
Virginia Emergency Medicine Assoicates, LTD CurrentSince Sep 2, 2012 Accepting new patients

Locations

493 Blackwell Rd
Ste 202
Warrenton, VA 20186
Phone (540) 341-1734

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17492/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484352000000",
    "number": "1104180231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 BLACKWELL RD STE 202",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862689",
            "telephone_number": "540-347-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 BLACKWELL RD STE 202",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862689",
            "telephone_number": "540-347-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KATRINA",
        "middle_name": "PATRICE",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2017-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024-170159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA BOARD OF NURSING NURSE PRACTITIONER NUMBER",
            "identifier": "0024-170159",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

Verify at the official NPI Registry.