Jimmy A White, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APO4661 Issued in LA

Practice address

3217 Mabel St
Shreveport, LA 71103-4022

Phone

(318) 631-9121

Fax

(318) 631-9126

NPI assigned

May 16, 2006

Last updated

Mar 29, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texoma Anesthesia P.a.Group PAC ID 1759558547, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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

• Texoma Anesthesia P.a.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Plano, TX
  • NPI 1063798148
  Medicare reassignment Care Compare group NPD
• Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Keller, TX
  • NPI 1588931174

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Psa Anesthesia PLLC

  dba MedStar Anesthesia

  • Anesthesiology Physician
  • Austin, TX
  • NPI 1477828028
  Medicare reassignment NPD
• Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Beaumont, TX
  • NPI 1548817471

  Nurse Anesthetist, Certified Registered

  NPD
• Psa Ambulatory Surgical Center of South Austin, LLC

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1770223901
  NPD
• Mid-Louisiana Anesthesia Consultants, Apmc

  • Anesthesiology Physician
  • Alexandria, LA
  • NPI 1205888914
  NPD (past)
• Red River Anesthesia Services, a.P.M.C.

  • Certified Registered Nurse Anesthetist
  • Shreveport, LA
  • NPI 1477734820

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Ahp of Central Georgia, PC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1972638047

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Ahp of Dekalb LLC

  • Certified Registered Nurse Anesthetist
  • Decatur, GA
  • NPI 1215226097

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Ahp of Georgia, LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1467400481

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Eclipse Anesthesia LLC

  dba AHP of Macon LLC

  • Anesthesiology Physician
  • Macon, GA
  • NPI 1811174964

  Nurse Anesthetist, Certified Registered

  NPD (past)
• South Georgia Anesthesia Group, P.C.

  • Anesthesiology Physician
  • Duluth, GA
  • NPI 1831415165

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1548212889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37046",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711337046",
            "telephone_number": "318-631-9121",
            "fax_number": "318-631-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 MABEL ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034022",
            "telephone_number": "318-631-9121",
            "fax_number": "318-631-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JIMMY",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "APO4661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1624250",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerienne Nieara White, PHARMD, RPH
• Gloriette B White, MA
• Heather White, MPAS
• Ina Lynette White
• Jason Gregory White, CRNA
• John M White, PA-C
• Joshua Phillip White, FNP-C
• Julian White, BS
• Katie W White, PA-C
• Katrenia White, MS, LCPC

• Certified Registered Nurse Anesthetist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.