Active NPI
Karen Mechele White, DPM
- Foot & Ankle Surgery Podiatrist
- Stratford, CT
National Provider Identifier
1417943226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- CT000679
- Practice address
- 1505 Barnum Ave
Stratford, CT 06614-5404 - Phone
- (203) 877-4469
- Fax
- (203) 878-8849
- NPI assigned
- Sep 27, 2005
- Last updated
- Oct 29, 2010
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | CT000679 | CT | Primary |
Addresses
Primary practice location
1505 Barnum Ave
Stratford, CT 06614-5404
Mailing address
531 New Haven Ave
Milford, CT 06460-8613
Phone (203) 877-4469
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030000679CT08 | Other | CT | BCBS |
| 4180668 | Medicaid | CT | |
| 030000679CT07 | Other | CT | BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CT000679 | CT | MD | Foot & Ankle Surgery Podiatrist |
| 000679 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr William C Deangelo PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288310400000",
"number": "1417943226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 NEW HAVEN AVE",
"city": "MILFORD",
"state": "CT",
"postal_code": "064608613",
"telephone_number": "203-877-4469",
"fax_number": "203-878-8849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 BARNUM AVE",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066145404",
"telephone_number": "203-877-4469",
"fax_number": "203-878-8849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "KAREN",
"middle_name": "MECHELE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2010-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CT",
"license": "CT000679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "030000679CT08",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4180668",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "030000679CT07",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stratford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.