Active NPI
Janice Lee White, APRN
- Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1215973359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN3378682
- Practice address
- 1514 Nira St
Jacksonville, FL 32207-8652 - Phone
- (904) 387-4991
- Fax
- (904) 384-3613
- NPI assigned
- Jun 20, 2006
- Last updated
- Jan 2, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 3378682 | FL | |
| Nurse Practitioner | 363L00000X | APRN3378682 | FL | Primary |
Addresses
Primary practice location
1514 Nira St
Jacksonville, FL 32207-8652
Mailing address
1514 Nira St
Jacksonville, FL 32207-8652
Phone (904) 387-4991
Other practice location 1
700 3rd St Ste 101
Neptune Beach, FL 32266-5082
Phone (904) 387-4991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014177100 | Medicaid | FL |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN3378682 | FL | MD | Nurse Practitioner |
| 3378682 | FL | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546387200000",
"number": "1215973359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 NIRA ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078652",
"telephone_number": "904-387-4991",
"fax_number": "904-384-3613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 NIRA ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078652",
"telephone_number": "904-387-4991",
"fax_number": "904-384-3613"
}
],
"practiceLocations": [
{
"address_1": "700 3rd St Ste 101",
"address_purpose": "LOCATION",
"city": "Neptune Beach",
"state": "FL",
"postal_code": "322665082",
"country_code": "US",
"telephone_number": "904-387-4991",
"fax_number": "904-384-3613",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "JANICE",
"middle_name": "LEE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2019-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "3378682",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN3378682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014177100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.