Active NPI
Teresa White, APRN
- Family Nurse Practitioner
- Pine Knot, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3011654
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3011654 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SHC Medical Partners of Kentucky, LLC | Nurse Practitioner | Current | Accepting new patients |
| Abode Care Partners LTC VB, LLC | Nurse Practitioner | Current | Accepting new patients |
| Abode Care Partners LTC VB, LLC | Nurse Practitioner | Current | Accepting new patients |
| Kiosk Medicine Kentucky LLC | Family | Current | 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
- 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.
-
- Nurse Practitioner
- Louisville, KY
- NPI 1447029798
-
- Family Nurse Practitioner
- Louisville, KY
- NPI 1205885035
-
- Nurse Practitioner
- Louisville, KY
- NPI 1417132614
-
- Primary Care Nurse Practitioner
- Louisville, KY
- NPI 1235469255
-
- Nurse Practitioner
- Ridgeland, MS
- NPI 1992518591
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.