Individual provider Active NPI

Katrice Rose White, MS

  • Speech-Language Pathologist
  • Glen Allen, VA
National Provider Identifier
1497474159
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2204001009 Issued in VA
Practice address
9500 Norfolk St
Glen Allen, VA 23060-2381
Phone
(804) 261-5095
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2204001009 VA Primary

Addresses

Primary practice location

9500 Norfolk St
Glen Allen, VA 23060-2381

Mailing address

411 Bainbridge St Apt C144
Richmond, VA 23224-2383
Phone (719) 330-9991

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katrice.white@henrico.k12.va.us Direct Henrico Public Schools

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 Science

State licenses

LicenseStateTypeSpecialty
2204001009VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1497474159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 BAINBRIDGE ST APT C144",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242383",
            "telephone_number": "719-330-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 NORFOLK ST",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230602381",
            "telephone_number": "804-261-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KATRICE",
        "middle_name": "ROSE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204001009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katrice.white@henrico.k12.va.us",
            "affiliation": "Y",
            "affiliationName": "Henrico Public Schools",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9500 Norfolk St",
            "city": "Glen Allen",
            "state": "VA",
            "country_code": "US",
            "postal_code": "230602381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.