Active NPI
Kelly Elise White, DNP AGAC
- Adult Health Nurse Practitioner
- Norman, OK
National Provider Identifier
1265050934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 83831
- Practice address
- 3500 Healthplex Pkwy Ste 200
Norman, OK 73072-9738 - Phone
- (405) 515-2222
- NPI assigned
- Jul 9, 2020
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 83831 | OK | Primary |
Addresses
Primary practice location
3500 Healthplex Pkwy Ste 200
Norman, OK 73072-9738
Mailing address
3500 Healthplex Pkwy Ste 200
Norman, OK 73072-9738
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83831 | OK | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594252800000",
"number": "1265050934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 HEALTHPLEX PKWY STE 200",
"city": "NORMAN",
"state": "OK",
"postal_code": "730729738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 HEALTHPLEX PKWY STE 200",
"city": "NORMAN",
"state": "OK",
"postal_code": "730729738",
"telephone_number": "405-515-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "KELLY",
"middle_name": "ELISE",
"name_prefix": "Dr.",
"credential": "DNP AGAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-09",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OK",
"license": "83831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.