Individual provider Active NPI

James D White

  • Registered Dietitian
  • Virginia Beach, VA
National Provider Identifier
1588980213
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
915373 Issued in VA
Practice address
1577 Laskin Rd
Suite 105
Virginia Beach, VA 23451-6464
Phone
(757) 422-4728
Fax
(757) 422-2020
NPI assigned
Apr 20, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 915373 VA Primary

Addresses

Primary practice location

1577 Laskin Rd
Suite 105
Virginia Beach, VA 23451-6464

Mailing address

1577 Laskin Rd
Suite 105
Virginia Beach, VA 23451-6464
Phone (757) 422-4728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110107000720 VA Practitioner - Registered Dietitian Or Nutrition Professional 5890984827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
JWF Nutrition LLCGroup PAC ID 2365752979, 9 clinicians

Practice addresses (Care Compare)

848 1St Colonial Rd
Suite B
Virginia Beach, VA 23451-6126
Phone (757) 422-4728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
915373VAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
JWF Nutrition, LLC Dietitian, Registered CurrentSince May 19, 2015 Accepting new patients
JDW Fitness and Nutrition Dietitian, Registered Past Accepting new patients

Locations

115 College Pl
Ste A
Norfolk, VA 23510
Phone (757) 340-3200

1577 Laskin Rd
Ste 105
Virginia Beach, VA 23451
Phone (757) 422-4728

2861 Lynnhaven Dr
Ste 110
Virginia Beach, VA 23451
Phone (757) 412-0019

848 First Colonial Rd
#B
Virginia Beach, VA 23451
Phone (757) 422-4725

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1588980213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 LASKIN RD",
            "address_2": "SUITE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516464",
            "telephone_number": "757-422-4728",
            "fax_number": "757-422-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 LASKIN RD",
            "address_2": "SUITE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516464",
            "telephone_number": "757-422-4728",
            "fax_number": "757-422-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JAMES",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "915373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.