Individual provider Active NPI

Charito Cunanan White, ARNP

  • Nurse Practitioner
  • Kennewick, WA
National Provider Identifier
1366249161
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61661735 Issued in WA
Practice address
87804 E Sagebrush Rd
Kennewick, WA 99338-2375
Phone
(509) 378-0796
Fax
(509) 378-0796
NPI assigned
Feb 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61661735 WA Primary

Addresses

Primary practice location

87804 E Sagebrush Rd
Kennewick, WA 99338-2375

Mailing address

87804 E Sagebrush Rd
Kennewick, WA 99338-2375
Phone (509) 378-0796

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
I20260421002640 WA Practitioner - Nurse Practitioner 9931675444 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RCCH Trios Health LLCGroup PAC ID 5799035416, 65 clinicians

Practice addresses (Care Compare)

3730 Plaza Way
FL 4
Kennewick, WA 99338-2718
Phone (509) 221-6450

Hospital & facility affiliations

  • Trios Health Hospital, Kennewick, WA, CCN 500053
  • Lourdes Medical Center Hospital, Pasco, WA, CCN 501337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP61661735WAMDNurse Practitioner

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1366249161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87804 E SAGEBRUSH RD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382375",
            "telephone_number": "509-378-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87804 E SAGEBRUSH RD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382375",
            "telephone_number": "509-378-0796",
            "fax_number": "509-378-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CHARITO",
        "middle_name": "CUNANAN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61661735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.