Jessica Lynn White, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

01471 Issued in WV

Practice address

200 Maplewood Ave
Ronceverte, WV 24970-1334

Phone

(304) 647-1148

Fax

(304) 647-3006

NPI assigned

Jan 4, 2011

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

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Rainelle Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Hinton, WV
  • NPI 1285303156
  Medicare reassignment NPD
• Rainelle Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1265101273
  Medicare reassignment NPD
• Rainelle Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1679223390
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • White Sulphur Springs, WV
  • NPI 1093165722
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1497244412
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Maxwelton, WV
  • NPI 1528417946
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hico, WV
  • NPI 1952815268
  Medicare reassignment NPD
• Rainelle Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Meadow Bridge, WV
  • NPI 1093883324
  Medicare reassignment
• Rainelle Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Rupert, WV
  • NPI 1811081821
  NPD
• Rainelle Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1265068001
  NPD
• Rainelle Medical Center, Inc

  • Specialist
  • Lewisburg, WV
  • NPI 1437772225
  NPD
• Rainelle Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Caldwell, WV
  • NPI 1578399085
  NPD

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1659675742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701334",
            "telephone_number": "304-647-1148",
            "fax_number": "304-647-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701334",
            "telephone_number": "304-647-1148",
            "fax_number": "304-647-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Edward Wardlow, DC
• Brian Weikle
• Jennifer B Weikle
• Sharon Weikle
• West Virginia Drug Testing Laboratories Inc
• Jana M Whited, FNP-BC
• Andrea Wickline, PHARMD
• Kimberly Wiley, PHARM.D.
• Ellie Catherine Windon, RN
• Katelin Withrow

• Medical Physician Assistant in Ronceverte, WV
• Providers in Ronceverte, WV by specialty
• Medical Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.

Verify at the official NPI Registry.