Amy White, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-080972 Issued in AL

Practice address

711 Douglas Ave
Brewton, AL 36426-1707

Phone

(251) 868-2090

Fax

(251) 868-2091

NPI assigned

Jun 20, 2024

Last updated

Jun 20, 2024By 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

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Escambia County Alabama Community Hospitals, IncGroup PAC ID 4385616119, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atmore Community Hospital Hospital, Atmore, AL, CCN 010169

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Escambia County Alabama Community Hospitals, Inc

  dba Atmore Community Hospital

  • Rural Acute Care Hospital
  • Atmore, AL
  • NPI 1124073879
  Medicare reassignment Care Compare group NPD
• Escambia County Alabama Community Hospitals, Inc.

  dba Ach Primary Care

  • Rural Health Clinic/Center
  • Atmore, AL
  • NPI 1659510931
  NPD
• Loduca Pediatrics, LLC

  • Pediatrics Physician
  • Brewton, AL
  • NPI 1467060954
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Escambia County Alabama Community Hospitals, Inc

  dba Atmore Community Hospital

  • Rural Acute Care Hospital
  • Atmore, AL
  • NPI 1124073879
  Care Compare affiliation

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1396589818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 DOUGLAS AVE",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261707",
            "telephone_number": "251-868-2090",
            "fax_number": "251-868-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 DOUGLAS AVE",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261707",
            "telephone_number": "251-868-2090",
            "fax_number": "251-868-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "AMY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-080972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #10762)
• James J Walker Jr., M. D.
• Lawanna Nacole Walton, CNA
• West Gate Village, LLC
• WH Services Brewton LLC
• William Herman Whittle, M.D.
• Angelica Williams
• Marlo Young
• Natalie Young, CRNP

• Family Nurse Practitioner in Brewton, AL
• Providers in Brewton, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.