Individual provider Active NPI

Helen Teresa White

  • Prosthetics Case Management
  • Perry, FL
National Provider Identifier
1215694401
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
CL1284629 Issued in FL
Practice address
1708 S Byron Butler Pkwy Ste D
Perry, FL 32348-5513
Phone
(850) 295-4389
NPI assigned
Nov 22, 2021
Last updated
Nov 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X CL1284629 FL Primary

Addresses

Primary practice location

1708 S Byron Butler Pkwy Ste D
Perry, FL 32348-5513

Mailing address

607 W Ash St
Perry, FL 32347-1852
Phone (850) 295-4389

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rgbl@radiantglobeautylounge.com Direct

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

State licenses

LicenseStateTypeSpecialty
CL1284629FLMDProsthetics Case Management

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1215694401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W ASH ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323471852",
            "telephone_number": "850-295-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 S BYRON BUTLER PKWY STE D",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323485513",
            "telephone_number": "850-295-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "HELEN",
        "middle_name": "TERESA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "FL",
            "license": "CL1284629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgbl@radiantglobeautylounge.com",
            "affiliation": "N",
            "endpointDescription": "confidential messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1708 S Byron Butler Pkwy Ste D",
            "city": "Perry",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323485513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Perry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.