Active NPI
Katy White, NP
- Nurse Practitioner
- Ukiah, CA
National Provider Identifier
1205026481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 16565
- Practice address
- 115 Hospital Dr
Ukiah, CA 95482-4591 - Phone
- (707) 463-1900
- Fax
- (707) 780-6375
- NPI assigned
- Jul 25, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 16565 | CA | Primary |
Addresses
Primary practice location
115 Hospital Dr
Ukiah, CA 95482-4591
Mailing address
115 Hospital Dr
Ukiah, CA 95482-4591
Phone (707) 463-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16565 | Other | CA | LICENSE |
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16565 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190419200000",
"number": "1205026481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 HOSPITAL DR",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824591",
"telephone_number": "707-463-1900",
"fax_number": "707-780-6375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 HOSPITAL DR",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824591",
"telephone_number": "707-463-1900",
"fax_number": "707-780-6375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "KATY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-25",
"last_updated": "2007-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "16565",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "16565",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.