Janean White, ELECTROLOGIST

Primary specialty

TechnicianTaxonomy code 374700000X

License

EEI232029 Issued in ID

Practice address

200 S Main St
Pocatello, ID 83204-3261

Phone

(208) 251-7289

NPI assigned

Dec 17, 2021

Last updated

Dec 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1124788153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 REBECCA DR",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832021666",
            "telephone_number": "208-251-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043261",
            "telephone_number": "208-251-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JANEAN",
        "name_prefix": "Ms.",
        "credential": "ELECTROLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "ID",
            "license": "EEI232029",
            "primary": true
        },
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "ID",
            "license": "EEI232029",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF OCCUPATIONAL LISCENSE",
            "identifier": "EEI232029",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF OCCUPATIONAL LICENSES",
            "identifier": "EEI232029",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly D. Wheatley, PHARMD
• Nancy M. Wheeler, LCSW
• Mary M. Whitaker, AU.D.
• Christopher Jared White, LMSW
• Hannah June White
• Kelley White
• Kevin White
• Leah White
• Mollie White
• Rebecca Denise White, CPRC, CPSS, CPRC SUP

• Technician in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Technician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.