Individual provider Active NPI

Alicia Lutgarda White, NP

  • Adult Health Nurse Practitioner
  • Camp Hill, PA
National Provider Identifier
1578847034
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP031774 Issued in PA
Practice address
503 N 21St St
Camp Hill, PA 17011-2204
Phone
(717) 531-5638
Fax
(717) 531-0983
NPI assigned
Oct 3, 2011
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 0024177120 VA
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X 0024177120 VA
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X 114325 NE
Adult Health Nurse Practitioner 363LA2200X SP031774 PA Primary

Addresses

Primary practice location

503 N 21St St
Camp Hill, PA 17011-2204

Mailing address

500 University Dr MC Ca410
Hershey, PA 17033-2360
Phone (717) 531-5208

Other practice location 1

1100 E Church St
Martinsville, VA 24112
Phone (276) 638-2354

Other practice location 2

16200 Sand Canyon Ave
Irvine, CA 92618-3714
Phone (949) 727-5754

Other practice location 3

6451 N Federal Hwy Ste 800
Fort Lauderdale, FL 33308-1409
Phone (954) 837-2356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CA, PA, KS4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190212000387 VA Practitioner - Nurse Practitioner 1951649219 Reassigns benefits to 1 organization
I20230814003730 CA Practitioner - Nurse Practitioner 1951649219 Reassigns benefits to 1 organization
I20250212003234 PA Practitioner - Nurse Practitioner 1951649219 Reassigns benefits to 1 organization
I20250813002385 KS Practitioner - Nurse Practitioner 1951649219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

2500 Canterbury Dr
Suite 112
Hays, KS 67601-2258
Phone (785) 261-7599

2826 Harris St
Eureka, CA 95503-4809
Phone (707) 443-8066

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
114325NEMDAdult Health Nurse Practitioner
SP031774PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc Multi-Specialty CurrentSince Aug 1, 2025 Accepting new patients
Providence Medical Foundation Multi-Specialty CurrentSince Aug 1, 2023 Accepting new patients
Martinsville Physician Practices LLC Multi-Specialty CurrentSince Feb 1, 2019 Accepting new patients
Providence Medical Foundation Multi-Specialty Current Accepting new patients
The Milton S Hershey Medical Center Physician Group Multi-Specialty CurrentSince Jan 22, 2025 Accepting new patients
Martinsville Physician Practices LLC CurrentSince Feb 1, 2019 Accepting new patients
Providence Medical Foundation Multi-Specialty CurrentSince Aug 1, 2023 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Multi-Specialty CurrentSince Jan 22, 2025 Accepting new patients
Hays Medical Center, Inc. Multi-Specialty Current Accepting new patients
Hays Medical Center, Inc. Multi-Specialty CurrentSince Aug 1, 2025 Accepting new patients
Pawnee Valley Community Hospital Inc Multi-Specialty Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

2826 Harris St
Eureka, CA 95503
Phone (707) 443-8066

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

2500 Canterbury Dr
Ste 112
Hays, KS 67601
Phone (785) 261-7599

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

3100 Schoolhouse Rd
Middletown, PA 17057
Phone (717) 948-5180

1100 E Church St
Martinsville, VA 24112
Phone (276) 638-2354

319 Hospital Dr
Ste 107
Martinsville, VA 24112
Phone (276) 632-0944

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

Organizations & group practices 12

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1578847034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR MC CA410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "717-531-5208",
            "fax_number": "717-531-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N 21ST ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112204",
            "telephone_number": "717-531-5638",
            "fax_number": "717-531-0983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E Church St",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "VA",
            "postal_code": "24112",
            "country_code": "US",
            "telephone_number": "276-638-2354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16200 Sand Canyon Ave",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183714",
            "country_code": "US",
            "telephone_number": "949-727-5754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6451 N Federal Hwy Ste 800",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333081409",
            "country_code": "US",
            "telephone_number": "954-837-2356",
            "fax_number": "866-889-7834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ALICIA",
        "middle_name": "LUTGARDA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-03",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024177120",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024177120",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NE",
            "license": "114325",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP031774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.