Active NPI
Jordan White, LAT, ATC
- Athletic Trainer
- Phoenix, AZ
National Provider Identifier
1306314091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- ATR-009008
- Practice address
- 20050 N Cave Creek Rd Apt 388
Phoenix, AZ 85024-5436 - Phone
- (480) 636-9415
- NPI assigned
- Nov 11, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | ATR-009008 | AZ | Primary |
Addresses
Primary practice location
20050 N Cave Creek Rd Apt 388
Phoenix, AZ 85024-5436
Mailing address
20050 N Cave Creek Rd Apt 388
Phoenix, AZ 85024-5436
Phone (480) 636-9415
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 |
|---|---|---|---|
| ATR-009008 | AZ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541894400000",
"number": "1306314091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20050 N CAVE CREEK RD APT 388",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850245436",
"telephone_number": "480-636-9415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20050 N CAVE CREEK RD APT 388",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850245436",
"telephone_number": "480-636-9415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JORDAN",
"credential": "LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-11",
"last_updated": "2018-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "ATR-009008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.