Lisa A. White, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

A0712087 Issued in OH

Practice address

1615 N River Rd NE
Warren, OH 44483-2437

Phone

(330) 372-2333

Fax

(330) 373-1111

NPI assigned

Oct 30, 2012

Last updated

Sep 3, 2015By 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

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Justin P. Mikula, M.D., Inc.

  • Internal Medicine Physician
  • Warren, OH
  • NPI 1750487542
  NPD (past)

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1467706457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 N RIVER RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444832437",
            "telephone_number": "330-372-2333",
            "fax_number": "330-373-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 N RIVER RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444832437",
            "telephone_number": "330-372-2333",
            "fax_number": "330-373-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "LISA",
        "middle_name": "A.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "A0712087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White Oak Manor
• Charlene S White-Lowery, CRNA
• Braylin White
• Edward James White, LPCC
• Erica White, LMT
• Morgan Elizabeth White
• Omari White
• Scott James White, BA
• Shayna White
• Noreen Yvonne Whitlock, LPN

• Adult Health Nurse Practitioner in Warren, OH
• Providers in Warren, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.

Verify at the official NPI Registry.