Individual provider Active NPI

Rennatta Kiper White

  • Family Nurse Practitioner
  • Big Clifty, KY
National Provider Identifier
1265849525
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008786 Issued in KY
Practice address
9847 Elizabethtown Rd
Big Clifty, KY 42712-5880
Phone
(270) 242-2000
Fax
(270) 242-2100
NPI assigned
Jul 18, 2014
Last updated
Sep 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3008786 KY
Family Nurse Practitioner 363LF0000X 3008786 KY Primary

Addresses

Primary practice location

9847 Elizabethtown Rd
Big Clifty, KY 42712-5880

Mailing address

908 Wallace Ave
Leitchfield, KY 42754-1479
Phone (270) 242-2000

Other identifiers 1

IdentifierTypeStateIssuer
7100303220MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140825001312 KY Practitioner - Nurse Practitioner 5294953758 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

1360 Rogersville Rd
Radcliff, KY 40160-9344
Phone (270) 351-1150

1679 N Wilson Rd
Suite 110
Radcliff, KY 40160-1569
Phone (270) 272-0000

4031 N Dixie Hwy
Suite 104
Elizabethtown, KY 42701-7873
Phone (270) 982-4776

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Community Medical Associates, Inc. Acute Care CurrentSince Jul 27, 2014 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 25, 2025 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jul 27, 2014 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients

Locations

96 Future Dr
Corbin, KY 40701

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

1360 Rogersville Rd
Radcliff, KY 40160
Phone (270) 351-1150

1679 N Wilson Rd
Ste 110
Radcliff, KY 40160
Phone (270) 272-0000

648 University Shopping Ctr
Richmond, KY 40475
Phone (859) 623-1950

Interoperability endpoints

  • Direct secure messaging: rwhite@hardinmemorial.gwaydirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1265849525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 WALLACE AVE",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541479",
            "telephone_number": "270-242-2000",
            "fax_number": "270-242-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9847 ELIZABETHTOWN RD",
            "city": "BIG CLIFTY",
            "state": "KY",
            "postal_code": "427125880",
            "telephone_number": "270-242-2000",
            "fax_number": "270-242-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "RENNATTA",
        "middle_name": "KIPER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3008786",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100303220",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Clifty, KY

Sources for this page

Verify at the official NPI Registry.