Active NPI
Valinda Jeanne Redwing White
- Nutritionist
- Sisseton, SD
National Provider Identifier
1619063757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 0116
- 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, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RD835709 | Other | AMERICAN DIETETIC ASSOCIA | |
| 0116 | Other | SD | LICENSED NUTRITIONIST |
Other names 1
- Ms. Valinda Jeanne White
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0116 | SD | MD | Nutritionist |
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.