Individual provider Active NPI

David A White Jr., APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1437674736
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3011622 Issued in KY
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3000006838MedicaidIN

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
I20170821002375 KY Practitioner - Nurse Practitioner 6002188349 Reassigns benefits to 4 organizations

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

LicenseStateTypeSpecialty
3011622KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisivlle Physicians CurrentSince Nov 1, 2019 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2019 Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner Current Accepting new patients
Omni Resource Services Inc Public Health and Wellness Center CurrentSince Oct 1, 2025 Accepting new patients
PMR Ky Holding, LLC Nurse Practitioner CurrentSince Feb 1, 2026 Accepting new patients
PMR Ky Holding, LLC PastSince Feb 1, 2026 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.