Active NPI
David A White Jr., APRN
- Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3011622
- Practice address
- 225 Abraham Flexner Way Ste 305
Louisville, KY 40202-1891 - Phone
- (502) 585-4321
- Fax
- (502) 566-6338
- NPI assigned
- Aug 8, 2017
- Last updated
- Nov 21, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3011622 | KY | Primary |
Addresses
Primary practice location
225 Abraham Flexner Way Ste 305
Louisville, KY 40202-1891
Mailing address
100 E Liberty St Ste 800
Louisville, KY 40202-1428
Phone (502) 585-4321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3000006838 | Medicaid | IN |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
714 Lyndon LN
Suite 6
Louisville, KY 40222-4643
Phone (502) 930-5305
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3011622 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisivlle Physicians | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Omni Resource Services Inc Public Health and Wellness Center | Current | Accepting new patients | |
| PMR Ky Holding, LLC | Nurse Practitioner | Current | Accepting new patients |
| PMR Ky Holding, LLC | Past | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
1918 Hikes Ln
#102
Louisville, KY 40218
Phone (502) 473-4067
2001 W Broadway
Ste 13
Louisville, KY 40203
Phone (502) 276-1273
2009 W Broadway
Louisville, KY 40203
Phone (502) 276-1273
201 Abraham Flexner Way
Ste 1200
Louisville, KY 40202
Phone (502) 583-8383
225 Abraham Flexner Way
Ste 305
Louisville, KY 40202
Phone (800) 553-1799
2406 W Broadway
Louisville, KY 40211
Phone (502) 775-1211
5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
Organizations & group practices 7
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.
-
- Adult Health Nurse Practitioner
- Louisville, KY
- NPI 1417619156
-
- Health Service Clinic/Center
- Louisville, KY
- NPI 1437969300
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
Nurse Practitioner
-
dba ULP Pediatric Infectious Diseases
- Pediatric Infectious Diseases Physician
- Louisville, KY
- NPI 1003172727
-
dba ULP Radiological Associates
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
dba Jencare Neighborhood Medical Center Shivley, LLC
- Community/Retail Pharmacy
- Louisville, KY
- NPI 1083197388
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerwell Home Health
- Home Health Agency
- Louisville, KY
- NPI 1558394254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511222400000",
"number": "1437674736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LIBERTY ST STE 800",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021428",
"telephone_number": "502-585-4321",
"fax_number": "502-566-6338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 ABRAHAM FLEXNER WAY STE 305",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021891",
"telephone_number": "502-585-4321",
"fax_number": "502-566-6338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "DAVID",
"middle_name": "A",
"name_suffix": "Jr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-08",
"last_updated": "2017-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3011622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3000006838",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.