Amethyst White, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10002342 Issued in OR

Practice address

617 N Main St
Newberg, OR 97132-2312

Phone

(503) 476-1431

Fax

(855) 247-1666

NPI assigned

Dec 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Np2U, LLC

  dba CareConnect NP2U

  • Primary Care Clinic/Center
  • Tigard, OR
  • NPI 1255760070
  Medicare reassignment NPD
• Voda Integrative Medical Clinic LLC

  dba Voda Integrative Medical Clinic

  • Family Nurse Practitioner
  • Newberg, OR
  • NPI 1669931499
  NPD

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1356052344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 SALEM HEIGHTS AVE S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025602",
            "telephone_number": "541-714-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 N MAIN ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322312",
            "telephone_number": "503-476-1431",
            "fax_number": "855-247-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "AMETHYST",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10002342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness Community Nursing LLC
• Robert James Weniger, PSYD
• Tara Weston, LMT
• Laura Wheaton, M.S.
• Viva Wheaton, PSY.D.
• Kenneth A Whittaker, MD
• Mary Teresa Wikander, LCSW
• Timothy P Wilcox, LMT
• Kelsey Wilde, DPT
• Robert Carl Wilde, DMD

• Family Nurse Practitioner in Newberg, OR
• Providers in Newberg, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.