Active NPI
Rebekah S White, PHD
- Health Service Psychologist
- Tinker Afb, OK
National Provider Identifier
1275766966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 3830
- Practice address
- 7050 Air Depot Blvd
Tinker Afb, OK 73145-8716 - Phone
- (405) 582-6211
- NPI assigned
- Aug 27, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3737 | NC | |
| Health Service Psychologist | 103TH0100X | 3830 | NC | Primary |
Addresses
Primary practice location
7050 Air Depot Blvd
Tinker Afb, OK 73145-8716
Mailing address
7050 Air Depot Blvd
Tinker Afb, OK 73145-8716
Phone (405) 582-6211
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3737 | NC | MD | Sports Physician Chiropractor |
| 3830 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New River Service Authority | Past | Accepting new patients | |
| Charles a. Cannon, Jr. Memorial Hospital, Inc | Past | Accepting new patients | |
| New River Service Authority | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Linville, NC
- NPI 1518906700
-
- Community/Behavioral Health Agency
- Lenoir, NC
- NPI 1659532562
-
- Foster Care Agency
- Boone, NC
- NPI 1720360944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525651200000",
"number": "1275766966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7050 AIR DEPOT BLVD",
"city": "TINKER AFB",
"state": "OK",
"postal_code": "731458716",
"telephone_number": "405-582-6211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7050 AIR DEPOT BLVD",
"city": "TINKER AFB",
"state": "OK",
"postal_code": "731458716",
"telephone_number": "405-582-6211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "REBEKAH",
"middle_name": "S",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-27",
"last_updated": "2018-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "3737",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "NC",
"license": "3830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tinker Afb, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.