Active NPI
Thomas White
- Case Manager/Care Coordinator
- Bremerton, WA
National Provider Identifier
1386250777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- CG60973910
- Practice address
- 2625 Wheaton Way Ste B
Bremerton, WA 98310-3372 - Phone
- (360) 792-2020
- NPI assigned
- Sep 21, 2020
- Last updated
- Sep 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CG60973910 | WA | Primary |
Addresses
Primary practice location
2625 Wheaton Way Ste B
Bremerton, WA 98310-3372
Mailing address
2625 Wheaton Way Ste B
Bremerton, WA 98310-3372
Phone (360) 792-2020
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60973910 | WA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1386250777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 WHEATON WAY STE B",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103372",
"telephone_number": "360-792-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 WHEATON WAY STE B",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103372",
"telephone_number": "360-792-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-21",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WA",
"license": "CG60973910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.