Carlene Kamilah White, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN161620 Issued in GA

Practice address

125 Townpark Dr NW Ste 300
Kennesaw, GA 30144-5812

Phone

(662) 753-9678

Fax

(678) 348-7317

NPI assigned

Oct 22, 2012

Last updated

Nov 18, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1255684700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 HOLLINDALE LN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527317",
            "telephone_number": "678-849-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TOWNPARK DR NW STE 300",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445812",
            "telephone_number": "662-753-9678",
            "fax_number": "678-348-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CARLENE",
        "middle_name": "KAMILAH",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "GA",
            "license": "RN161620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilary Francis Wheeles, D.D.S.
• Celeste A Whirt
• Anthony Ricardo White, D.C.
• Ariyanna White
• Candice Sampson White, LCSW
• David Anthony White, PA-C
• Floyd White III
• Jillia White
• Laquetta Annette White, SLP
• Nathaniel White

• Case Management Registered Nurse in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Case Management Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.