Juanita C White

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4001 E Ruth Dr Unit C
Wasilla, AK 99654-7546

Phone

(907) 795-8250

NPI assigned

Oct 3, 2017

Last updated

Oct 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1396255592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 876618",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996876618",
            "telephone_number": "907-795-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 E RUTH DR UNIT C",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547546",
            "telephone_number": "907-795-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JUANITA",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White Skye Summit LLC (Arctic Skye Family Medicine)
• Mary Gladys White-Meacham
• Anna White
• Brendan White
• Brittany Nicole White, MS CCC-SLP
• Maxwell Pierce White, PT, DPT
• Rebecca SC White, MD
• Stephanie White, PSYD
• Michael Whitecotton
• Susan M Whitefeather, MA, PHD

• Case Manager/Care Coordinator in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Case Manager/Care Coordinator in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.