Kris Michele White, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

24519 Issued in FL

Practice address

803 Oak St
Green Cove Springs, FL 32043-4317

Phone

(864) 423-1667

NPI assigned

Dec 29, 2015

Last updated

Dec 29, 2015By the provider in NPPES

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": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1659736171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320850792",
            "telephone_number": "864-423-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 OAK ST",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320434317",
            "telephone_number": "864-423-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KRIS",
        "middle_name": "MICHELE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "24519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole A Weiss
• Blake Wells, PTA
• Ashley Elizabeth Welsh, APRN
• Stephen Wayne Westfall, ATC
• Karin White
• Taurence Whitehead
• William P Yapp DC PA
• Kristi Resse Williams, MS OTR/L
• Wylo Medical Training Institute Dba/ Wylo Medical Transport (WYLO Medical Transport)
• William Perry Yapp, D.C.

• Physical Therapy Assistant in Green Cove Springs, FL
• Providers in Green Cove Springs, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.