Active NPI
Desha White
- Student in an Organized Health Care Education/Training Program
- Washington, DC
National Provider Identifier
1306240379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- NA00808160
- Practice address
- 4520 Livingston Rd SE Apt a
Washington, DC 20032-2957 - Phone
- (202) 909-0087
- NPI assigned
- Oct 20, 2014
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NA00808160 | DC | Primary |
Addresses
Primary practice location
4520 Livingston Rd SE Apt a
Washington, DC 20032-2957
Mailing address
4520 Livingston Rd SE Apt a
Washington, DC 20032-2957
Phone (202) 909-0087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA00808160 | Other | DC | CNA |
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 |
|---|---|---|---|
| NA00808160 | DC | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413763200000",
"number": "1306240379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4520 LIVINGSTON RD SE APT A",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200322957",
"telephone_number": "202-909-0087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4520 LIVINGSTON RD SE APT A",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200322957",
"telephone_number": "202-909-0087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "DESHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-20",
"last_updated": "2014-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "DC",
"license": "NA00808160",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNA",
"identifier": "NA00808160",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.