Active NPI
Carlotta Taylor-White, RN MSN APN BC
- Adult Health Nurse Practitioner
- Saint Louis, MO
National Provider Identifier
1144339318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 126962
- Practice address
- 969 N Mason Rd
Ste 160
Saint Louis, MO 63141-6338 - Phone
- (314) 996-3434
- Fax
- (314) 996-3433
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 126962 | MO | |
| General Practice Registered Nurse | 163WG0000X | 041-069988 | IL | |
| Nurse Practitioner | 363L00000X | 209-003181 | IL | |
| Adult Health Nurse Practitioner | 363LA2200X | 126962 | MO | Primary |
Addresses
Primary practice location
969 N Mason Rd
Ste 160
Saint Louis, MO 63141-6338
Mailing address
670 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141-8573
Phone (314) 996-3434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-069988 | IL | MD | General Practice Registered Nurse |
| 209-003181 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University | Past | Accepting new patients | |
| Physician Groups LC | Past | Accepting new patients | |
| DRS Pichet & Meechai | Past | Accepting new patients | |
| Red Bud Clinic Corp | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1285664268
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1194765685
-
- Internal Medicine Physician
- Red Bud, IL
- NPI 1417058777
-
- Family Medicine Physician
- Red Bud, IL
- NPI 1083617609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1144339318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 MASON RIDGE CENTER DR",
"address_2": "STE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418573",
"telephone_number": "314-996-3434",
"fax_number": "314-996-3433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "969 N MASON RD",
"address_2": "STE 160",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416338",
"telephone_number": "314-996-3434",
"fax_number": "314-996-3433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR-WHITE",
"first_name": "CARLOTTA",
"credential": "RN MSN APN BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "MO",
"license": "126962",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "IL",
"license": "041-069988",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209-003181",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "126962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.