Ciara June White, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.025028 Issued in IL

Practice address

2321 N Wisconsin Ave
Peoria, IL 61603-5613

Phone

(309) 680-7600

Fax

(309) 681-4681

NPI assigned

Jan 6, 2022

Last updated

Sep 15, 2023By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Heartland Community Health Clinic

  dba Heartland Health Services - Garden

  • Federally Qualified Health Center (FQHC)
  • Peoria, IL
  • NPI 1336193861
  NPD (past)
• Heartland Community Health Clinic

  dba Heartland Health Services - Wisconsin

  • Federally Qualified Health Center (FQHC)
  • Peoria, IL
  • NPI 1467658443
  NPD (past)

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1407517923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 N UNIVERSITY ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616043221",
            "telephone_number": "309-495-8644",
            "fax_number": "309-681-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 N WISCONSIN AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616035613",
            "telephone_number": "309-680-7600",
            "fax_number": "309-681-4681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 N Knoxville Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616033005",
            "country_code": "US",
            "telephone_number": "309-680-7600",
            "fax_number": "309-495-8614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CIARA",
        "middle_name": "JUNE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.025028",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.455975",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE APN LICENSE",
            "identifier": "209.025028",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Weybright, APN
• Daniel Weyers
• Erin L Whalen, APN
• Christina Whitaker, PH.D., LCP
• Brianna Edwards White, APRN, CNP
• Da'Kira Kanisha White, NP
• Diane Kay White, PT, MHS
• Jill Marie White, APN
• Karla Jean White, LCPC
• Kristina White, PHARMD

• Family Nurse Practitioner in Peoria, IL
• Providers in Peoria, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.