Active NPI
Elizabeth Christina White, RN
- Registered Nurse
- Pearl River, NY
National Provider Identifier
1205074853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 378436-1
- Practice address
- 3 S Magnolia St
Pearl River, NY 10965-2224 - Phone
- (845) 735-9410
- NPI assigned
- Feb 4, 2009
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 378436-1 | NY | Primary |
Addresses
Primary practice location
3 S Magnolia St
Pearl River, NY 10965-2224
Mailing address
4 Burd St Apt. 2206
N Yack, NY 10960
Phone (845) 653-6055
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 378436-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1205074853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 BURD ST APT. 2206",
"city": "N YACK",
"state": "NY",
"postal_code": "10960",
"telephone_number": "845-653-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 S MAGNOLIA ST",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109652224",
"telephone_number": "845-735-9410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "ELIZABETH",
"middle_name": "CHRISTINA",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-04",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "378436-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearl River, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.