Whites Family Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WHITES FAMILY CLINIC LLC

Practice address

418 N 2ND St
Ashdown, AR 71822-2755

Phone

(870) 898-0002

NPI assigned

Aug 12, 2019

Last updated

Jul 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cortney Lindsey White, APRNNPI 1821479767

Title

Advanced Practice Registered Nurse

Phone

(870) 898-0002

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20279/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cortney Lindsey White, FNP

  • Family Nurse Practitioner
  • Ashdown, AR
  • NPI 1821479767
  Medicare reassignment Care Compare group NPD Authorized official
• James Edward Oglesby, MD

  • Family Medicine Physician
  • Ashdown, AR
  • NPI 1366432247
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1548816044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 N 2ND ST",
            "city": "ASHDOWN",
            "state": "AR",
            "postal_code": "718222755",
            "telephone_number": "870-898-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N 2ND ST",
            "city": "ASHDOWN",
            "state": "AR",
            "postal_code": "718222755",
            "telephone_number": "870-898-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITES FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CORTNEY",
        "authorized_official_middle_name": "LINDSEY",
        "authorized_official_title_or_position": "ADVANCED PRACTICE REGISTERED NURSE",
        "authorized_official_telephone_number": "870-898-0002",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210797758",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ashdown",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "418 N 2nd St",
            "city": "Ashdown",
            "state": "AR",
            "country_code": "US",
            "postal_code": "718222755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Walgreen Co. (Walgreens #21500)
• Shalese Ladawne Walker, APRN
• Walmart Inc. (Walmart Pharmacy 10-0133)
• Sheila Ann West
• Cortney Lindsey White, FNP
• Jeffrey Allen Williamson
• Daniel T Young, APN

• Family Nurse Practitioner in Ashdown, AR
• Providers in Ashdown, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.