Active NPI
Tina White
- Homemaker
- Florissant, MO
National Provider Identifier
1306197876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 100 Washington St
Florissant, MO 63031-5921 - Phone
- (314) 921-9498
- Fax
- (314) 921-9948
- NPI assigned
- Sep 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 2000149870 | MO | |
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
100 Washington St
Florissant, MO 63031-5921
Mailing address
100 Washington St.
Florissant, MO 63031-1063
Phone (314) 921-9498
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 |
|---|---|---|---|
| 2000149870 | MO | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Assurance Home Health, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Home Health Agency
- Florissant, MO
- NPI 1245775006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1306197876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WASHINGTON ST.",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630311063",
"telephone_number": "314-921-9498",
"fax_number": "314-921-9948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WASHINGTON ST",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630315921",
"telephone_number": "314-921-9498",
"fax_number": "314-921-9948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "TINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-25",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MO",
"license": "2000149870",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.