Active NPI
Shonta White, CRNP
- Nurse Practitioner
- Thorndale, PA
National Provider Identifier
1396494233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP024883
- Practice address
- 3149 Lincoln Hwy
Thorndale, PA 19372-1129 - Phone
- (610) 857-3445
- NPI assigned
- Mar 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP024883 | PA | Primary |
Addresses
Primary practice location
3149 Lincoln Hwy
Thorndale, PA 19372-1129
Mailing address
3206 Stoneham Dr
West Chester, PA 19382-6644
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Slwhite@chesco.org | Direct | County of Chester |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Nurse Practitioner | Current | Accepting new patients |
Locations
3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530
255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286
100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647648000000",
"number": "1396494233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3206 STONEHAM DR",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193826644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3149 LINCOLN HWY",
"city": "THORNDALE",
"state": "PA",
"postal_code": "193721129",
"telephone_number": "610-857-3445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "SHONTA",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-19",
"last_updated": "2022-03-19",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP024883",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Slwhite@chesco.org",
"affiliation": "Y",
"endpointDescription": "Email",
"affiliationName": "County of Chester",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3149 Lincoln Hwy",
"city": "Thorndale",
"state": "PA",
"country_code": "US",
"postal_code": "193721129",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Thorndale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.