Tiesha White

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904883 Issued in MS

Practice address

211 4TH St
Alexandria, LA 71301-8421

Phone

(318) 769-3495

NPI assigned

Nov 23, 2021

Last updated

Nov 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1396402434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 WOODLAND AVE",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713342026",
            "telephone_number": "601-807-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-769-3495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "329 Woodland Ave",
            "address_purpose": "LOCATION",
            "city": "Ferriday",
            "state": "LA",
            "postal_code": "713342026",
            "country_code": "US",
            "telephone_number": "601-807-3341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TIESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly G White, PA-C
• Patsy D White
• Samantha Nicole White, RN
• Shannon Monike White
• Sharon Brown White
• Tyler Samuel White, PA
• Victor White, LPC, LAC, CCS
• Maria Whitehead, D.D.S.
• Matthew Tracy Whitehead, D.D.S.
• Tashiana Whitehead

• Family Nurse Practitioner in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.