Active NPI
Stephanie Lee White, AUD
- Audiologist
- Conway, AR
National Provider Identifier
1255066734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A0000002032
- Practice address
- 2200 Bruce St
Conway, AR 72035-0001 - Phone
- (501) 450-5485
- NPI assigned
- Jul 19, 2022
- Last updated
- Jul 19, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A0000002032 | TN | Primary |
Addresses
Primary practice location
2200 Bruce St
Conway, AR 72035-0001
Mailing address
201 Donaghey Avenue Uca Box 4985
Conway, AR 72035-0001
Phone (501) 450-5485
Other names 1
- Stephanie White Najarian
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 |
|---|---|---|---|
| A0000002032 | TN | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Central Arkansas | Audiologist | Current | Accepting new patients |
Locations
201 Donaghey Ave
Conway, AR 72035
Phone (501) 450-3136
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1255066734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 DONAGHEY AVENUE UCA BOX 4985",
"city": "CONWAY",
"state": "AR",
"postal_code": "720350001",
"telephone_number": "501-450-5485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 BRUCE ST",
"city": "CONWAY",
"state": "AR",
"postal_code": "720350001",
"telephone_number": "501-450-5485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "STEPHANIE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-19",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TN",
"license": "A0000002032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "NAJARIAN",
"middle_name": "WHITE",
"credential": "AUD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.