Active NPI
Tange Marie White, COTA
- Contractor
- Winter Park, FL
National Provider Identifier
1538544960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 13422
- Practice address
- 925 S Semrn Blvd
110A
Winter Park, FL 32792-5313 - Phone
- (888) 830-1050
- NPI assigned
- Jul 27, 2015
- Last updated
- Jul 27, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 13422 | FL | Primary |
Addresses
Primary practice location
925 S Semrn Blvd
110A
Winter Park, FL 32792-5313
Mailing address
12301 Kernan Forest Blvd
2302
Jacksonville, FL 32225-5597
Phone (904) 894-8646
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 |
|---|---|---|---|
| 13422 | FL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1538544960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12301 KERNAN FOREST BLVD",
"address_2": "2302",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322255597",
"telephone_number": "904-894-8646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 S SEMRN BLVD",
"address_2": "110A",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327925313",
"telephone_number": "888-830-1050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "TANGE",
"middle_name": "MARIE",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-27",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "13422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.