Active NPI
Melissa Ilene White, RN
- Case Manager/Care Coordinator
- San Antonio, TX
National Provider Identifier
1417197609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 690987
- Practice address
- 2319 Bluffridge St
San Antonio, TX 78232-3947 - Phone
- (210) 455-8132
- Fax
- (210) 451-8179
- NPI assigned
- Feb 27, 2009
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 690987 | TX | Primary |
Addresses
Primary practice location
2319 Bluffridge St
San Antonio, TX 78232-3947
Mailing address
PO Box 701456
San Antonio, TX 78270-1456
Phone (210) 455-8132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 690987 | TX | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236816000000",
"number": "1417197609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 701456",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782701456",
"telephone_number": "210-455-8132",
"fax_number": "210-451-8179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2319 BLUFFRIDGE ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782323947",
"telephone_number": "210-455-8132",
"fax_number": "210-451-8179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MELISSA",
"middle_name": "ILENE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-27",
"last_updated": "2009-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": "690987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.