Individual provider Active NPI

Valinda Jeanne Redwing White

  • Nutritionist
  • Sisseton, SD
National Provider Identifier
1619063757
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
0116 Issued in SD
Practice address
100 Lake Traverse Drive
Sisseton, SD 57262
Phone
(605) 742-3631
Fax
(605) 742-3896
NPI assigned
Oct 5, 2006
Last updated
Feb 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 0116 SD Primary

Addresses

Primary practice location

100 Lake Traverse Drive
Sisseton, SD 57262

Mailing address

100 Lake Traverse Drive
WW Keeble Memorial Health Care Center
Sisseton, SD 57262-7046
Phone (605) 742-3631

Other identifiers 2

IdentifierTypeStateIssuer
RD835709OtherAMERICAN DIETETIC ASSOCIA
0116OtherSDLICENSED NUTRITIONIST

Other names 1

  • Ms. Valinda Jeanne White Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0116SDMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1619063757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAKE TRAVERSE DRIVE",
            "address_2": "WW KEEBLE MEMORIAL HEALTH CARE CENTER",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572627046",
            "telephone_number": "605-742-3631",
            "fax_number": "605-742-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAKE TRAVERSE DRIVE",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "57262",
            "telephone_number": "605-742-3631",
            "fax_number": "605-742-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDWING WHITE",
        "first_name": "VALINDA",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "SD",
            "license": "0116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN DIETETIC ASSOCIA",
            "identifier": "RD835709",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED NUTRITIONIST",
            "identifier": "0116",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALINDA",
            "last_name": "WHITE",
            "middle_name": "JEANNE",
            "prefix": "MS.",
            "credential": "RD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sisseton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.