Austin Kenneth White, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

07755 Issued in MD

Practice address

957 National Hwy
Lavale, MD 21502-7356

Phone

(240) 362-7128

NPI assigned

Mar 13, 2014

Last updated

Aug 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1306262423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 NATIONAL HWY",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027356",
            "telephone_number": "240-362-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 NATIONAL HWY",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027356",
            "telephone_number": "240-362-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "AUSTIN",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-13",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07755",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011607",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Wampler, CRNP
• Wellcare Inc
• Western Maryland Medical Supply
• Western Maryland Pediatrics
• Western Maryland Vision Associates (sterling optical)
• Arthur W. Willison, MA, LCPC
• Denise V Wilson, CRNP
• John O. Wolfe II, DDS
• Ryan Wratchford, DDS

• Speech-Language Pathologist in Lavale, MD
• Providers in Lavale, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.