Angela Diana White, BACHELOR OF SCIENCE

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

59651 E 170 Rd
Fairland, OK 74343-2046

Phone

(918) 452-3335

Fax

(918) 452-3939

NPI assigned

Oct 12, 2011

Last updated

Oct 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1457636250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59651 E 170 RD",
            "city": "FAIRLAND",
            "state": "OK",
            "postal_code": "743432046",
            "telephone_number": "918-452-3335",
            "fax_number": "918-452-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59651 E 170 RD",
            "city": "FAIRLAND",
            "state": "OK",
            "postal_code": "743432046",
            "telephone_number": "918-452-3335",
            "fax_number": "918-452-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ANGELA",
        "middle_name": "DIANA",
        "name_prefix": "Mrs.",
        "credential": "BACHELOR OF SCIENCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthcare and Rehab of Fairland, LLC (Healthcare and Rehab of Fairland)
• Andrea Gail Heilig
• Jonathan Jacobs, LPC, LADC-C
• Cynthia D Noble, FNP
• Quickcare Family Medicine LLC

• Case Manager/Care Coordinator in Fairland, OK
• Providers in Fairland, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.