Active NPI
Johanna Leigh White, MA, LAT, ATC
- Athletic Trainer
- Cornelius, NC
National Provider Identifier
1457815466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-2925
- Practice address
- 12420 Bailey Rd
Cornelius, NC 28031-9134 - Phone
- (980) 344-0514
- NPI assigned
- Jan 23, 2019
- Last updated
- Jan 23, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | LAT-2925 | NC | Primary |
Addresses
Primary practice location
12420 Bailey Rd
Cornelius, NC 28031-9134
Mailing address
1100 South Blvd Apt 566
Charlotte, NC 28203-6534
Phone (910) 233-2547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAT-2925 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1457815466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 SOUTH BLVD APT 566",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282036534",
"telephone_number": "910-233-2547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12420 BAILEY RD",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280319134",
"telephone_number": "980-344-0514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JOHANNA",
"middle_name": "LEIGH",
"credential": "MA, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-23",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-2925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.