Billy Blake White III, RA (RADIOLOGIST ASS)

Primary specialty

Radiology Practitioner AssistantTaxonomy code 243U00000X

License

RA63 Issued in FL

Practice address

1305 Lakeland Hills Blvd
Lakeland, FL 33805-4542

Phone

(863) 688-2334

NPI assigned

Mar 6, 2024

Sex

Male

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

State licenses

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1417715368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 BAYOU RD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338842507",
            "telephone_number": "863-651-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054542",
            "telephone_number": "863-688-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "BILLY",
        "middle_name": "BLAKE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "RA (RADIOLOGIST ASS)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "FL",
            "license": "RA63",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Marie Whipple, APRN
• Richard E. Whisnant, M.D.
• Morgan Whitaker Smith, LPC
• Alex White, PHARMD
• Ann Derr White, LMFT. CRC
• Joseph Carl Whitehurst, PT
• William Whitlock
• Kari Lynn Whitman, PA-C
• Christopher C Whitney, ARNP
• Lawrence R Whitney III, M.D.

• Radiology Practitioner Assistant in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Radiology Practitioner Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.