Mary White, RN, HHP, LBA, CCM

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

406742 Issued in CA

Practice address

3000 Citrus Cir Ste 101
Walnut Creek, CA 94598-2625

Phone

(925) 628-8969

NPI assigned

Mar 19, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1144614876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CITRUS CIR STE 101",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982625",
            "telephone_number": "925-628-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CITRUS CIR STE 101",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982625",
            "telephone_number": "925-628-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MARY",
        "credential": "RN, HHP, LBA, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "406742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Whelan, MFT
• Lynn Marie Whelan, PT
• Kaitlyn White
• Keith Turreff White, D.D.S.
• Lisa Wolk White, PH.D.
• Neal W White Jr., MD
• Samantha L White
• Meaghan Whitehorn
• Pamela A Whitman, PT
• Mary Whitmore Schindler, PSY.D.

• Registered Nurse in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.