Active NPI
David Jason White, FNP
- Family Nurse Practitioner
- Wyandotte, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704258725
- Practice address
- 2070 Biddle Ave
Wyandotte, MI 48192-4080 - Phone
- (800) 653-6568
- NPI assigned
- Nov 22, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 35557 | TN | |
| Family Nurse Practitioner | 363LF0000X | 4704258725 | MI | Primary |
Addresses
Primary practice location
2070 Biddle Ave
Wyandotte, MI 48192-4080
Mailing address
4021 Keith St NW
Cleveland, TN 37312-4341
Phone (423) 476-2464
Other practice location 1
4021 Keith St NW
Cleveland, TN 37312-4341
Phone (423) 476-2464
Other practice location 2
15606 Southfield Rd
Allen Park, MI 48101-2513
Phone (313) 771-5274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 284-2400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704258725 | MI | MD | Family Nurse Practitioner |
| 35557 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Wyandotte Hospital | Current | Accepting new patients | |
| Urgent Care Centers of East Tennessee, P.C. | Current | Accepting new patients | |
| Henry Ford Wyandotte Hospital | Current | Accepting new patients | |
| Henry Ford Wyandotte Hospital | Current | Accepting new patients | |
| Henry Ford Wyandotte Hospital | Past | Accepting new patients | |
| Wellstreet Urgent Care of Michigan | Past | Accepting new patients |
Locations
2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000
2070 Biddle Ave
Ste 200
Wyandotte, MI 48192
Phone (734) 225-9100
2070 Biddle Ave
Wyandotte, MI 48192
Phone (734) 225-9100
2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482
4021 Keith St NW
Cleveland, TN 37312
Phone (423) 476-2464
Interoperability endpoints
- dwhite237377@direct.hfhs.org
Organizations & group practices 6
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.
-
- Obstetrics & Gynecology Physician
- Wyandotte, MI
- NPI 1457586646
-
- Internal Medicine Physician
- Cleveland, TN
- NPI 1316124852
-
- Nurse Practitioner
- Trenton, MI
- NPI 1144634403
-
- Community/Retail Pharmacy
- Brownstown TWP, MI
- NPI 1356356984
-
- Certified Registered Nurse Anesthetist
- Wyandotte, MI
- NPI 1386685212
-
- Non-Pharmacy Dispensing Site
- Troy, MI
- NPI 1649952052
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Wyandotte, MI
- NPI 1093901035
Hospital
-
- General Acute Care Hospital
- Wyandotte, MI
- NPI 1992725352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1194590810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4021 KEITH ST NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373124341",
"telephone_number": "423-476-2464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2070 BIDDLE AVE",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481924080",
"telephone_number": "800-653-6568"
}
],
"practiceLocations": [
{
"address_1": "4021 Keith St NW",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "TN",
"postal_code": "373124341",
"country_code": "US",
"telephone_number": "423-476-2464",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15606 Southfield Rd",
"address_purpose": "LOCATION",
"city": "Allen Park",
"state": "MI",
"postal_code": "481012513",
"country_code": "US",
"telephone_number": "313-771-5274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "DAVID",
"middle_name": "JASON",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-22",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "35557",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704258725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.