Pandora Lee White, RN CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R1127607 Issued in MN

Practice address

2515 W Broadway Ave
Minneapolis, MN 55411-1736

Phone

(612) 354-2629

Fax

(612) 354-2740

NPI assigned

May 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Pandora Lee White Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

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 and National Provider Directory roles.

• Ahavah Birthworks

  • Health Service Clinic/Center
  • Minneapolis, MN
  • NPI 1669842209
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1528025624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 W BROADWAY AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554111736",
            "telephone_number": "612-354-2629",
            "fax_number": "612-354-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 W BROADWAY AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554111736",
            "telephone_number": "612-354-2629",
            "fax_number": "612-354-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "PANDORA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "RN CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R1127607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "765523100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PANDORA",
            "last_name": "WHITE",
            "middle_name": "LEE",
            "prefix": "MRS.",
            "credential": "RN CNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Matthew W White, OTR L
• Melissa Elizabeth White, M.D.
• Michael John White, RN
• Michelle Marie White, MSW
• Monica Anne White, PHD, LMFT
• Patricia Ann White, MSW, LICSW
• Patricia Louise White, OTR
• Serena N White
• Stacy Lynn White
• Susan White, RDN

• All providers in Minneapolis, MN
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.