Active NPI
Laura Elizabeth White, P.A.-C.
- Physician Assistant
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA03969
- Practice address
- 400 W Ih 635 Fwy
Plaza I, Suite 220
Irving, TX 75063-3718 - Phone
- (972) 481-6363
- Fax
- (972) 406-2732
- NPI assigned
- Sep 26, 2006
- Last updated
- Oct 30, 2013
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA03969 | TX | Primary |
Addresses
Primary practice location
400 W Ih 635 Fwy
Plaza I, Suite 220
Irving, TX 75063-3718
Mailing address
5536 Forest LN
Dallas, TX 75230-2628
Phone (214) 232-5180
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280814904 | Medicaid | TX | |
| 280814901 | Medicaid | TX | |
| 280814902 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients |
Locations
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648
400 W Lyndon B Johnson Fwy
Ste 220
Irving, TX 75063
Phone (972) 481-6363
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1649371238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5536 FOREST LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302628",
"telephone_number": "214-232-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W IH 635 FWY",
"address_2": "PLAZA I, SUITE 220",
"city": "IRVING",
"state": "TX",
"postal_code": "750633718",
"telephone_number": "972-481-6363",
"fax_number": "972-406-2732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "LAURA",
"middle_name": "ELIZABETH",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA03969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280814904",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280814901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280814902",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.