Individual provider Active NPI

Denise White, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sandpoint, ID
National Provider Identifier
1104425149
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
65526 Issued in ID
Practice address
606 N Third Ave Ste 203
Sandpoint, ID 83864-1691
Phone
(208) 265-1046
Fax
(208) 265-3756
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 65526 ID Primary

Addresses

Primary practice location

606 N Third Ave Ste 203
Sandpoint, ID 83864-1691

Mailing address

606 N Third Ave Ste 203
Sandpoint, ID 83864-1691
Phone (208) 265-1046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20210120003219 ID Practitioner - Nurse Practitioner 3375957012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonner General Hospital IncGroup PAC ID 4082690466, 47 clinicians

Practice addresses (Care Compare)

606 N 3Rd Ave
Suite 203
Sandpoint, ID 83864-1691
Phone (208) 265-1090

Hospital & facility affiliations

  • Bonner General Hospital Hospital, Sandpoint, ID, CCN 131328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
65526IDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bonner General Hospital, Inc CurrentSince Mar 18, 2024 Accepting new patients
Bonner General Hospital Inc. CurrentSince Mar 18, 2024 Accepting new patients
Bonner General Hospital, Inc Past Accepting new patients

Locations

423 N Third Ave
Ste 210
Sandpoint, ID 83864
Phone (208) 263-1441

606 N Third Ave
Ste 203
Sandpoint, ID 83864
Phone (208) 263-2505

Interoperability endpoints

  • Direct secure messaging: dwhite611240@direct.multicare.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1104425149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N THIRD AVE STE 203",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641691",
            "telephone_number": "208-265-1046",
            "fax_number": "208-265-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N THIRD AVE STE 203",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641691",
            "telephone_number": "208-265-1046",
            "fax_number": "208-265-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DENISE",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "65526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

Verify at the official NPI Registry.