Active NPI
Noelle Kay White, OTR
- Occupational Therapist
- Florence, AZ
National Provider Identifier
1487869673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0456
- Practice address
- 255 S Orlando St
Florence, AZ 85232 - Phone
- (520) 866-3500
- NPI assigned
- May 11, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0456 | AZ | Primary |
Addresses
Primary practice location
255 S Orlando St
Florence, AZ 85232
Mailing address
2292 W Harrison St
Chandler, AZ 85224-6956
Phone (480) 786-3353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 556110 | Medicaid | AZ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0456 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487869673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2292 W HARRISON ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246956",
"telephone_number": "480-786-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 S ORLANDO ST",
"city": "FLORENCE",
"state": "AZ",
"postal_code": "85232",
"telephone_number": "520-866-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "NOELLE",
"middle_name": "KAY",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "0456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "556110",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Florence, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.