Carrie Ann White, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601006164 Issued in MI

Practice address

2890 Health Pkwy
Mount Pleasant, MI 48858-6931

Phone

(989) 593-4111

Fax

(989) 773-6267

NPI assigned

Oct 27, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carrie Ann Knop Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Charles J Lilly MD PC

  • Orthopaedic Surgery Physician
  • Mount Pleasant, MI
  • NPI 1619167996
  Medicare reassignment

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1235415860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 HEALTH PKWY",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488586931",
            "telephone_number": "989-593-4111",
            "fax_number": "989-773-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 HEALTH PKWY",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488586931",
            "telephone_number": "989-593-4111",
            "fax_number": "989-773-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "KNOP",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chad Wentworth
• Jordan Wentworth, APRN, CPNP-PC
• Felicia Marie Wernette, RN
• Anna Elizabeth Wetzel
• Virginia Mary White-Linn, NP-C
• Pamela Ann White
• Melssa Ann Whitefoot, MA, LLPC
• Whitford Chiropractic Clinic
• Dennis Wayne Whitford, D.C.
• Seth Whiting

• Physician Assistant in Mount Pleasant, MI
• Providers in Mount Pleasant, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.