Rebecca Jo White, RN, PNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

381661 Issued in NY

Practice address

460 W 41St St
Covenant House Under 21
Nyc, NY 10036-6801

Phone

(212) 613-0315

Fax

(212) 268-2832

NPI assigned

Dec 8, 2008

Last updated

Dec 8, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Care Choices Ny Inc

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1770521270
  Medicare reassignment NPD

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1184869059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 WEST 41ST STREET",
            "address_2": "COVENANT HOUSE UNDER 21",
            "city": "NYC",
            "state": "NY",
            "postal_code": "100366801",
            "telephone_number": "212-613-0315",
            "fax_number": "212-268-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W 41ST ST",
            "address_2": "COVENANT HOUSE UNDER 21",
            "city": "NYC",
            "state": "NY",
            "postal_code": "100366801",
            "telephone_number": "212-613-0315",
            "fax_number": "212-268-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "REBECCA",
        "middle_name": "JO",
        "credential": "RN, PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "381661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tribeca Dental Studio (Tribeca Dental Studio for Kids)
• Underneath It All Inc
• Douglas J Van Der Heide
• Ania Wajnberg, MD
• George Weingarten, MD
• David Benjamin Wiley, M.D.
• Mary Ann Willoughby, M.S.L.AC
• Jacquelyn Dana Worth, PT
• Maryellen Wyllie, NP

• Nurse Practitioner in Nyc, NY
• Providers in Nyc, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.