Dedrea A White, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

A01751 Issued in AR

Practice address

7 Shackleford West Blvd
Little Rock, AR 72211-3714

Phone

(501) 664-5860

Fax

(501) 664-0889

NPI assigned

Sep 2, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Heart Hospital Rural Health Services, LLCGroup PAC ID 6204004815, 52 clinicians

Arkansas Heart Hospital LLCGroup PAC ID 6002838653, 85 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arkansas Heart Hospital, LLC Hospital, Little Rock, AR, CCN 040134

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Arkansas Heart Hospital Rural Health Services, LLC

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1548553811
  Medicare reassignment Care Compare group NPD
• Arkansas Heart Hospital, LLC

  dba Arkansas Heart Hospital Clinic

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1558653212
  Medicare reassignment Care Compare group NPD
• Arkansas Heart Hospital, LLC

  dba Arkansas Heart Hospital Encore

  • General Acute Care Hospital
  • Bryant, AR
  • NPI 1841898293
  NPD
• Little Rock Cardiology Clinic, PA

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1124068556
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Arkansas Heart Hospital, LLC

  dba Arkansas Heart Hospital Clinic

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1558653212

  Hospital

  Care Compare affiliation
• Arkansas Heart Hospital, LLC

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1790775229
  Care Compare affiliation

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1639163736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SHACKLEFORD WEST BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113714",
            "telephone_number": "501-664-5860",
            "fax_number": "501-664-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SHACKLEFORD WEST BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113714",
            "telephone_number": "501-664-5860",
            "fax_number": "501-664-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DEDREA",
        "middle_name": "A",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "A01751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159173758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Hilliard White
• Anthony White
• Anthony White
• Brooke Leigh White, RN
• Connor John White, PHARMD
• Delicia White, MHPP
• Elizabeth G White, LCSW
• Erica Latrice White, LCSW
• Faber A White, MD
• Gwenevere M Weatherspoon White, MD

• Adult Health Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Adult Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.
• 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.