Individual provider Active NPI

Donna Michelle White

  • Specialist
  • Pembroke Pines, FL
National Provider Identifier
1215161641
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0T10137 Issued in FL
Practice address
17828 NW 16TH St
Pembroke Pines, FL 33029-3701
Phone
(954) 885-0475
NPI assigned
May 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0T10137 FL Primary

Addresses

Primary practice location

17828 NW 16TH St
Pembroke Pines, FL 33029-3701

Mailing address

17828 NW 16TH St
Pembroke Pines, FL 33029-3701
Phone (954) 885-0475

Other names 1

  • Donna Michelle White Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0T10137FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Results Rehab PA Specialist CurrentSince Feb 2, 2010 Accepting new patients

Organizations & group practices 1

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": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1215161641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17828 NW 16TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293701",
            "telephone_number": "954-885-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17828 NW 16TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293701",
            "telephone_number": "954-885-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DONNA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "0T10137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "WHITE",
            "middle_name": "MICHELLE",
            "credential": "M.S., OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.