Elizabeth Groendyke White, RNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

366510 Issued in CA

Practice address

601 W 19TH St
Costa Mesa, CA 92627-5060

Phone

(949) 548-8830

NPI assigned

Mar 31, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1619938297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28232 PASEO ANDANTE",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753334",
            "telephone_number": "949-488-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 19TH ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926275060",
            "telephone_number": "949-548-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ELIZABETH",
        "middle_name": "GROENDYKE",
        "name_prefix": "Mrs.",
        "credential": "RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "366510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Dennis Whan, ATC
• Lynn Whang, MD
• Shawn T. Wherry, P.T.A.
• Emily Elizabeth Whitaker
• Christine White
• Hailey Danielle White
• Leila White
• Michael White
• Nicole Riana White, BS
• Vanessa Marie White

• Women's Health Nurse Practitioner in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Women's Health Nurse Practitioner in California

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