Michelle Roberta White, APRN-CNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

2022004011 Issued in MO

Practice address

511 Ashland Ave Ste a
Warrenton, MO 63383-1065

Phone

(636) 456-0543

Fax

(636) 456-1681

NPI assigned

Feb 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwhite131473@direct-ehr-ssmhc.com

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.

• SSM Cardinal Glennon Childrens Hospital

  dba SSM Health Cardinal Glennon Children's Hospital

  • Pediatrics Physician
  • O'Fallon, IL
  • NPI 1174577670

  MO

  Medicare reassignment NPD
• SSM Cardinal Glennon Children's Hospital

  dba SSM Health Cardinal Glennon Pediatrics

  • Pediatrics Physician
  • Warrenton, MO
  • NPI 1962573212
  NPD
• SSM Cardinal Glennon Childrens Hospital

  dba SSM Health Cardinal Glennon Pediatrics

  • Pediatrics Physician
  • Saint Louis, MO
  • NPI 1073568226
  NPD

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1609573823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 ASHLAND AVE STE A",
            "city": "WARRENTON",
            "state": "MO",
            "postal_code": "633831065",
            "telephone_number": "636-456-0543",
            "fax_number": "636-456-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 ASHLAND AVE STE A",
            "city": "WARRENTON",
            "state": "MO",
            "postal_code": "633831065",
            "telephone_number": "636-456-0543",
            "fax_number": "636-456-1681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Professional Pkwy",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MO",
            "postal_code": "633792823",
            "country_code": "US",
            "telephone_number": "636-462-5437",
            "fax_number": "636-462-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MICHELLE",
        "middle_name": "ROBERTA",
        "name_prefix": "Ms.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "2022004011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Weilandich, DPT
• Christina Welch, DPT
• Bonnie J Wessler, L.C.S.W.
• Chelsey Wetzler, DNP, MSN-ED, FNP-C
• Anastasia Lindsey Wexler, LCSW
• Zachary Thomas White, DPM
• Heather Wiedenmann, DPT
• Ann E. Wieman, DPM
• Jeanne Elaine Wiggins, RN,MSN,MHNP/CNS-BC
• Keven Wigley

• Pediatric Nurse Practitioner in Warrenton, MO
• Providers in Warrenton, MO by specialty
• Pediatric Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.

Verify at the official NPI Registry.