Individual provider Active NPI

Jessica White Videa, DO

  • Obstetrics & Gynecology Physician
  • Coral Springs, FL
National Provider Identifier
1346471042
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS12001 Issued in FL
Practice address
2855 N University Dr Ste 300
Coral Springs, FL 33065-1404
Phone
(954) 317-0772
Fax
(954) 317-0778
NPI assigned
Jul 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS12001 FL Primary

Addresses

Primary practice location

2855 N University Dr Ste 300
Coral Springs, FL 33065-1404

Mailing address

2855 N University Dr Ste 300
Coral Springs, FL 33065-1404
Phone (954) 317-0772

Other names 1

  • Jessica White Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140212000828 FL Practitioner - Obstetrics/Gynecology 8527297662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Florida Inc Obstetrics & Gynecology CurrentSince Sep 1, 2025 Accepting new patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Jan 6, 2014 Accepting new patients

Locations

2855 N University Dr
Ste 300
Coral Springs, FL 33065
Phone (954) 317-0772

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

Interoperability endpoints

  • Direct secure messaging: jessica.whitevidea@toplinemd.eclinicaldirectplus.com

Organizations & group practices 2

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": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1346471042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 N UNIVERSITY DR STE 300",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651404",
            "telephone_number": "954-317-0772",
            "fax_number": "954-317-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 N UNIVERSITY DR STE 300",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651404",
            "telephone_number": "954-317-0772",
            "fax_number": "954-317-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE VIDEA",
        "first_name": "JESSICA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS12001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WHITE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.