Individual provider Active NPI

Trecia L Elahee White, MD

  • Pediatrics Physician
  • Conroe, TX
National Provider Identifier
1306922182
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K5520 Issued in TX
Practice address
3115 College Park Dr Ste 104
Conroe, TX 77384-4001
Phone
(936) 321-5030
Fax
(936) 271-5033
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K5520 TX Primary

Addresses

Primary practice location

3115 College Park Dr Ste 104
Conroe, TX 77384-4001

Mailing address

3115 College Park Dr Ste 104
Conroe, TX 77384-4001
Phone (936) 321-5030

Other identifiers 1

IdentifierTypeStateIssuer
164787701MedicaidTX

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K5520TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Murray B. Fershtman, M.D. Pediatrics PastSince Aug 23, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: trecia.white@cppe.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EJBHCD/Endpoint/EJBHCD

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1306922182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 COLLEGE PARK DR STE 104",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844001",
            "telephone_number": "936-321-5030",
            "fax_number": "936-271-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 COLLEGE PARK DR STE 104",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844001",
            "telephone_number": "936-321-5030",
            "fax_number": "936-271-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAHEE WHITE",
        "first_name": "TRECIA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K5520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164787701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.