Individual provider Active NPI

Kirsten Tori White, ARNP

  • Nurse Practitioner
  • Bartlesville, OK
National Provider Identifier
1508932724
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R0049746 Issued in OK
Practice address
3450 E Frank Phillips Blvd Ste 100
Bartlesville, OK 74006-2401
Phone
(918) 338-3777
Fax
(918) 338-3780
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R0049746 OK Primary

Addresses

Primary practice location

3450 E Frank Phillips Blvd Ste 100
Bartlesville, OK 74006-2401

Mailing address

3450 E Frank Phillips Blvd Ste 100
Bartlesville, OK 74006-2401
Phone (918) 338-3777

Other identifiers 1

IdentifierTypeStateIssuer
200100780AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20100920000530 OK Practitioner - Nurse Practitioner 8628171535 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0049746OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Sep 7, 2010 Accepting new patients
St. John Physicians, Inc. CurrentSince Sep 7, 2010 Accepting new patients
Birth & Beyond Pediatrics, P.C. Past Accepting new patients

Locations

3450 E Frank Phillips Blvd
Ste 100
Bartlesville, OK 74006
Phone (918) 338-3777

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1508932724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 E FRANK PHILLIPS BLVD STE 100",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062401",
            "telephone_number": "918-338-3777",
            "fax_number": "918-338-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 E FRANK PHILLIPS BLVD STE 100",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062401",
            "telephone_number": "918-338-3777",
            "fax_number": "918-338-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KIRSTEN",
        "middle_name": "TORI",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0049746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200100780A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.