Active NPI
Virginia Mary White-Linn, NP-C
- Nurse Practitioner
- Mt Pleasant, MI
National Provider Identifier
1306848312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 470411172
- Practice address
- 2480 Rosewood Drive
Mt Pleasant, MI 48858 - Phone
- (989) 775-3823
- Fax
- (989) 773-5061
- NPI assigned
- Aug 10, 2005
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 470411172 | MI | Primary |
| Family Nurse Practitioner | 363LF0000X | 4704111172 | MI |
Addresses
Primary practice location
2480 Rosewood Drive
Mt Pleasant, MI 48858
Mailing address
PO Box 994
Alma, MI 48801-0994
Phone (989) 466-7188
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114911084 | Medicaid | MI | |
| 1020579 | Other | MI | MCLAREN HEALTH PLAN |
| 5008706520 | Other | MI | BCBSM PIN |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 470411172 | MI | MD | Nurse Practitioner |
| 4704111172 | MI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1306848312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 994",
"city": "ALMA",
"state": "MI",
"postal_code": "488010994",
"telephone_number": "989-466-7188",
"fax_number": "989-463-0663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 ROSEWOOD DRIVE",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "48858",
"telephone_number": "989-775-3823",
"fax_number": "989-773-5061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE-LINN",
"first_name": "VIRGINIA",
"middle_name": "MARY",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-10",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "470411172",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704111172",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114911084",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN",
"identifier": "1020579",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM PIN",
"identifier": "5008706520",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.