Individual provider Active NPI

Desiree E White, ARNP

  • Family Nurse Practitioner
  • Lakewood, WA
National Provider Identifier
1306855952
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30006809 Issued in WA
Practice address
5700 100TH St SW Ste 510
Lakewood, WA 98499-2767
Phone
(253) 459-6060
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30006809 WA Primary

Addresses

Primary practice location

5700 100TH St SW Ste 510
Lakewood, WA 98499-2767

Mailing address

5700 100TH St SW Ste 510
Lakewood, WA 98499-2767
Phone (253) 459-6060

Other identifiers 1

IdentifierTypeStateIssuer
P00920037OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122000380 WA Practitioner - Nurse Practitioner 9436114261 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Nov 3, 2014 Accepting new patients
Community Health Care CurrentSince May 11, 2019 Accepting new patients
Community Health Care CurrentSince May 11, 2019 Accepting new patients
Multicare Health System CurrentSince Nov 3, 2014 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

5700 100th St SW
Ste 510
Lakewood, WA 98499
Phone (253) 459-6060

134 188th St S
Spanaway, WA 98387
Phone (253) 847-2304

1202 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 441-4742

1148 Broadway
Ste 100
Tacoma, WA 98402
Phone (253) 441-4742

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

4215 49th Ave NE
Tacoma, WA 98422
Phone (253) 459-7699

Interoperability endpoints

  • Direct secure messaging: desiree.whitearnp.p1@direct.chc-tacoma.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEDCAA
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1306855952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 100TH ST SW STE 510",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992767",
            "telephone_number": "253-459-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 100TH ST SW STE 510",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992767",
            "telephone_number": "253-459-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DESIREE",
        "middle_name": "E",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00920037",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.