Organization Active NPI

Let It Go Janet White Adult Health Nurse Practitioner PC

  • Adult Health Nurse Practitioner
  • Patchogue, NY
National Provider Identifier
1124859871
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
LET IT GO JANET WHITE ADULT HEALTH NURSE PRACTITIONER PC
Practice address
64 E Roe Blvd
Patchogue, NY 11772-2611
Phone
(631) 408-1545
NPI assigned
Aug 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Janet White, DNPNPI 1710916929
Title
Owner
Phone
(917) 324-8860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X Primary

Addresses

Primary practice location

64 E Roe Blvd
Patchogue, NY 11772-2611

Mailing address

30 High Pasture Cir
Dix Hills, NY 11746-5621
Phone (917) 324-8860

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1124859871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HIGH PASTURE CIR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465621",
            "telephone_number": "917-324-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 E ROE BLVD",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722611",
            "telephone_number": "631-408-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LET IT GO JANET WHITE ADULT HEALTH NURSE PRACTITIONER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-324-8860",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.