Individual provider Active NPI

Teresa White, APRN

  • Family Nurse Practitioner
  • Pine Knot, KY
National Provider Identifier
1437632577
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011654 Issued in KY
Practice address
58 Cal Hill Spur
Pine Knot, KY 42635-9194
Phone
(606) 354-3155
NPI assigned
Sep 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3011654 KY Primary
Nurse Practitioner 363L00000X 3011654 KY

Addresses

Primary practice location

58 Cal Hill Spur
Pine Knot, KY 42635-9194

Mailing address

2517 Guelat Ave
Louisville, KY 40216-3038
Phone (502) 881-6575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20181002000962 KY Practitioner - Nurse Practitioner 9931450913 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3011654KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SHC Medical Partners of Kentucky, LLC Nurse Practitioner CurrentSince Jan 8, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC Nurse Practitioner CurrentSince Jan 6, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC Nurse Practitioner CurrentSince Jan 6, 2024 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Jul 14, 2022 Accepting new patients
Sangeeta Kapoor, PLLC Family Past Accepting new patients

Locations

50 Shepherd Ln
Bedford, KY 40006
Phone (502) 255-3244

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

58 Cal Hill Spur
Pine Knot, KY 42635
Phone (606) 354-3155

1877 Farnsley Rd
Shively, KY 40216
Phone (502) 448-8622

Interoperability endpoints

  • Direct secure messaging: teresa.white@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1437632577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 GUELAT AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402163038",
            "telephone_number": "502-881-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 CAL HILL SPUR",
            "city": "PINE KNOT",
            "state": "KY",
            "postal_code": "426359194",
            "telephone_number": "606-354-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TERESA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011654",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3011654",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Knot, KY

Sources for this page

Verify at the official NPI Registry.