Individual provider Active NPI

Kathy Y White, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1184627192
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10688 Issued in TN
Practice address
1955 S 3Rd St
Memphis, TN 38109-7713
Phone
(901) 515-5800
Fax
(901) 515-5890
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10688 TN Primary

Addresses

Primary practice location

1955 S 3Rd St
Memphis, TN 38109-7713

Mailing address

1737 Bellevue Grove CV
Cordova, TN 38016
Phone (931) 237-2175

Other names 1

  • Kathy Yvette Butler White Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20060113000025 TN Practitioner - Nurse Practitioner 3870516099 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Regional One Physicians Inc CurrentSince Apr 1, 2017 Accepting new patients
Landmark Medical of Tennessee PC CurrentSince Apr 4, 2022 Accepting new patients
Landmark Medical of Tennessee PC CurrentSince Apr 4, 2022 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Apr 1, 2017 Accepting new patients
Carelon Medical Partners of Arizona, P.C. Past Accepting new patients
Ebc Healthcare Group Past Accepting new patients
NP Care of Tennessee, LLC Past Accepting new patients

Locations

7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112

210 Westwood Pl
Ste 110
Brentwood, TN 37027
Phone (615) 206-2462

1955 S 3rd St
Memphis, TN 38109
Phone (901) 515-5800

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

Interoperability endpoints

  • Direct secure messaging: katwhite@landmarkhealth-direct.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1184627192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 BELLEVUE GROVE CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "38016",
            "telephone_number": "931-237-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 S 3RD ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381097713",
            "telephone_number": "901-515-5800",
            "fax_number": "901-515-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KATHY",
        "middle_name": "Y",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "10688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "BUTLER WHITE",
            "middle_name": "YVETTE",
            "credential": "MSN, FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.