Teresa White

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

000608 Issued in AR

Legal business name

TERESA WHITE

Practice address

1606 West 4TH Street
Fordyce, AR 71742-1904

Phone

(870) 352-3338

Fax

(870) 352-3368

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Teresa Ann White

Title

Owner

Phone

(870) 352-3338

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366449068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 WEST 4TH STREET",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717421904",
            "telephone_number": "870-352-3338",
            "fax_number": "870-352-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 WEST 4TH STREET",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717421904",
            "telephone_number": "870-352-3338",
            "fax_number": "870-352-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA WHITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-352-3338",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "000608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS",
            "identifier": "49909",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Marcus Summers, P.D.
• Joyce Swartz, MHPP
• Jon Nicholas Tanner, MHPP
• Kelli Nicole Tanner, MHPP
• Timothy Taylor, MHPP
• Devan Michelle Tillman, PTA
• Donna Leann Trammel, MHPP
• Stephanie Turner, MHPP
• Brandy Tydingco, LPC
• Uhs of Benton, Inc.

• Durable Medical Equipment & Medical Supplies in Fordyce, AR
• Providers in Fordyce, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.