Active NPI
Vanessa White, PT, DPT
- Physical Therapist
- Bellevue, NE
National Provider Identifier
1679035794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3857
- Practice address
- 1820 Hillcrest Dr
Bellevue, NE 68005-3636 - Phone
- (402) 682-4808
- NPI assigned
- Apr 6, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3857 | NE | Primary |
| Physical Therapist | 225100000X | 1264511 | TX |
Addresses
Primary practice location
1820 Hillcrest Dr
Bellevue, NE 68005-3636
Mailing address
3109 Dewey Ave Apt 9
Omaha, NE 68105-1488
Phone (512) 738-7085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3857 | NE | MD | Mental Health Counselor |
| 1264511 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554508800000",
"number": "1679035794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3109 DEWEY AVE APT 9",
"city": "OMAHA",
"state": "NE",
"postal_code": "681051488",
"telephone_number": "512-738-7085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 HILLCREST DR",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680053636",
"telephone_number": "402-682-4808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "VANESSA",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-06",
"last_updated": "2019-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "3857",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1264511",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.