Active NPI
Kimberly Marie Roe White, MD, MS
- Pediatrics Physician
- Lincoln, NE
National Provider Identifier
1245681998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 32398
- Practice address
- 3262 Salt Creek Cir
Lincoln, NE 68504-4761 - Phone
- (402) 327-6054
- NPI assigned
- Jun 23, 2016
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 32398 | NE | Primary |
Addresses
Primary practice location
3262 Salt Creek Cir
Lincoln, NE 68504-4761
Mailing address
3262 Salt Creek Cir
Lincoln, NE 68504-4761
Phone (402) 327-6054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160829000606 | NE | Order and Referring Only - Neurology | 0042505182 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32398 | NE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Medical Center | Past | Accepting new patients | |
| Complete Children'S Health, P.C. | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1245681998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3262 SALT CREEK CIR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685044761",
"telephone_number": "402-327-6054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3262 SALT CREEK CIR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685044761",
"telephone_number": "402-327-6054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "KIMBERLY",
"middle_name": "MARIE ROE",
"name_prefix": "Dr.",
"credential": "MD, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-23",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NE",
"license": "32398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.