Active NPI
Amanda Nicole White, PA-C
- Surgical Physician Assistant
- Galveston, TX
National Provider Identifier
1568867869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 0000
- Practice address
- 815 Market St
Attn: Amanda White
Galveston, TX 77550-2725 - Phone
- (940) 765-9196
- NPI assigned
- Oct 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 0000 | TX | Primary |
Addresses
Primary practice location
815 Market St
Attn: Amanda White
Galveston, TX 77550-2725
Mailing address
1810 Church St
Unit 3
Galveston, TX 77550-4824
Phone (940) 765-9196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Malone MD PA | Past | Accepting new patients | |
| BHS Physicians Network, Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
-
dba Orthopedic Performance Institute
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
-
dba Advanced Pain Care
- Pain Medicine (Anesthesiology) Physician
- Round Rock, TX
- NPI 1407057250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1568867869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 CHURCH ST",
"address_2": "UNIT 3",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775504824",
"telephone_number": "940-765-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 MARKET ST",
"address_2": "ATTN: AMANDA WHITE",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775502725",
"telephone_number": "940-765-9196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "AMANDA",
"middle_name": "NICOLE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-29",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "0000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.