Individual provider Active NPI

Dianna Beale White, FNP BC

  • Family Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1669526109
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024166972 Issued in VA
Practice address
1401 Tidewater Drive
Ste 1
Norfolk, VA 23504
Phone
(757) 623-0095
Fax
(757) 623-1203
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024166972 VA Primary

Addresses

Primary practice location

1401 Tidewater Drive
Ste 1
Norfolk, VA 23504

Mailing address

1401 Tidewater Drive
Ste 1
Norfolk, VA 23504
Phone (757) 623-0095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20070423000362 VA Practitioner - Nurse Practitioner 3375648181 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024166972VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norfolk Community Health Center Inc Family CurrentSince Jan 1, 2007 Accepting new patients

Locations

1401 Tidewater Dr
Ste 1
Norfolk, VA 23504
Phone (757) 623-0095

1401 Tidewater Dr
Ste 4
Norfolk, VA 23504
Phone (757) 628-1400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669526109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 TIDEWATER DRIVE",
            "address_2": "STE 1",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23504",
            "telephone_number": "757-623-0095",
            "fax_number": "757-623-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 TIDEWATER DRIVE",
            "address_2": "STE 1",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23504",
            "telephone_number": "757-623-0095",
            "fax_number": "757-623-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DIANNA",
        "middle_name": "BEALE",
        "name_prefix": "Mrs.",
        "credential": "FNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.