Active NPI
Rhonda D White, NP
- Family Nurse Practitioner
- Odessa, TX
National Provider Identifier
1447296884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 535063
- Practice address
- 601 E 2ND St
Suite G
Odessa, TX 79761-5435 - Phone
- (432) 332-5200
- Fax
- (432) 332-5201
- NPI assigned
- Jun 22, 2006
- Last updated
- Sep 4, 2008
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 535063 | TX | Primary |
Addresses
Primary practice location
601 E 2ND St
Suite G
Odessa, TX 79761-5435
Mailing address
601 E 2ND St
Suite G
Odessa, TX 79761-5435
Phone (432) 332-5200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1572836-03 | Medicaid | TX | |
| 1578283602 | Medicaid | TX | |
| 8N5098 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 535063 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moody Medicine PLLC | Family | Current | Accepting new patients |
| Basin Family Care, Inc | Family | Current | Accepting new patients |
| Permian Women's Center, P.a | Past | Accepting new patients |
Locations
601 E 2nd St
Ste G
Odessa, TX 79761
Phone (432) 332-5200
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/abd8726a-ad55-4f85-8206-9ee9deb6ac7b/
- rhondawhite@140015.advancedmd-direct.com
Organizations & group practices 3
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.
-
- Family Nurse Practitioner
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1447296884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E 2ND ST",
"address_2": "SUITE G",
"city": "ODESSA",
"state": "TX",
"postal_code": "797615435",
"telephone_number": "432-332-5200",
"fax_number": "432-332-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E 2ND ST",
"address_2": "SUITE G",
"city": "ODESSA",
"state": "TX",
"postal_code": "797615435",
"telephone_number": "432-332-5200",
"fax_number": "432-332-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "RHONDA",
"middle_name": "D",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "535063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1572836-03",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1578283602",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8N5098",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.