Individual provider Active NPI

Virginia C. White, RN

  • Adult Psychiatric/Mental Health Registered Nurse
  • Lexington, SC
National Provider Identifier
1366870933
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
37218 Issued in SC
Practice address
301-A Palmetto Park Boulevard
Lexington County Community Mental Health Center
Lexington, SC 29072
Phone
(803) 359-3545
Fax
(803) 359-2111
NPI assigned
Oct 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 37218 SC Primary

Addresses

Primary practice location

301-A Palmetto Park Boulevard
Lexington County Community Mental Health Center
Lexington, SC 29072

Mailing address

301-A Palmetto Park, Boulevard
Lexington County Community Mental Health Center
Lexington, SC 29072
Phone (803) 359-3545

Other names 1

  • Virgina Glenn Crowder Former name

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
37218SCMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1366870933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301-A PALMETTO PARK, BOULEVARD",
            "address_2": "LEXINGTON COUNTY COMMUNITY MENTAL HEALTH CENTER",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "29072",
            "telephone_number": "803-359-3545",
            "fax_number": "803-359-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301-A PALMETTO PARK BOULEVARD",
            "address_2": "LEXINGTON COUNTY COMMUNITY MENTAL HEALTH CENTER",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "29072",
            "telephone_number": "803-359-3545",
            "fax_number": "803-359-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "VIRGINIA",
        "middle_name": "C.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "SC",
            "license": "37218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINA",
            "last_name": "CROWDER",
            "middle_name": "GLENN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.