Active NPI
Nenna J White, RMT
- Massage Therapist
- La Junta, CO
National Provider Identifier
1245544683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2821
- Practice address
- 602 Colorado Ave
La Junta, CO 81050-2310 - Phone
- (719) 383-0296
- NPI assigned
- Jul 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2821 | CO | Primary |
Addresses
Primary practice location
602 Colorado Ave
La Junta, CO 81050-2310
Mailing address
1701 Lincoln Ave Apt 17
La Junta, CO 81050-3284
Phone (719) 691-0143
Other names 1
- Ms. Nenna J White
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2821 | CO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1245544683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 LINCOLN AVE APT 17",
"city": "LA JUNTA",
"state": "CO",
"postal_code": "810503284",
"telephone_number": "719-691-0143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 COLORADO AVE",
"city": "LA JUNTA",
"state": "CO",
"postal_code": "810502310",
"telephone_number": "719-383-0296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "NENNA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "RMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "2821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NENNA",
"last_name": "WHITE",
"middle_name": "J",
"prefix": "MS.",
"credential": "REGISTERED MASSAGE T",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in La Junta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.