NPIMap

Individual provider Active NPI

Andrea White, MD

  • Pediatrics Physician
  • Ankeny, IA
National Provider Identifier
1679550651
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD-34050 Issued in IA
Practice address
909 SW Oralabor Rd
Suite 100
Ankeny, IA 50023-7004
Phone
(515) 963-4400
Fax
(515) 964-9338
NPI assigned
Dec 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD-34050 IA Primary

Addresses

Primary practice location

909 SW Oralabor Rd
Suite 100
Ankeny, IA 50023-7004

Mailing address

909 SW Oralabor Rd
Suite 100
Ankeny, IA 50023-7004
Phone (515) 963-4400

Other identifiers 3

IdentifierTypeStateIssuer
2234203MedicaidIA
1679550651MedicaidIA
1234203MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150428002451 IA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2860402021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-34050IAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Pediatrics PastSince Jan 1, 2018 Accepting new patients
Boone County Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: awhite11997@direct.unitypoint.org

Ownership & related parties

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unitypoint at HomeUrbandale, IA, CCN 167148A Home health agency Corporate Director Jan 1, 2023
Unitypoint at HomeSioux City, IA, CCN 167159 Home health agency Corporate Director Dec 31, 2022
Unitypoint at HomeFort Dodge, IA, CCN 167149 Home health agency Corporate Director Dec 31, 2022
Unitypoint at HomeMoline, IL, CCN 147009 Home health agency Corporate Director Dec 31, 2022
Unitypoint at HomeWaterloo, IA, CCN 167147 Home health agency Corporate Director Dec 31, 2022
Unitypoint at HomeStorm Lake, IA, CCN 167180 Home health agency Corporate Director Dec 31, 2022
Unitypoint at HomeCedar Rapids, IA, CCN 167005 Home health agency Corporate Director Dec 31, 2022
Unitypoint HospiceUrbandale, IA, CCN 161554A Hospice Corporate Director Jan 1, 2018
Unitypoint HospiceFort Dodge, IA, CCN 161549 Hospice Corporate Director Dec 31, 2022
Unitypoint HospiceMoline, IL, CCN 141583 Hospice Corporate Director Dec 31, 2022
Unitypoint HospiceWaterloo, IA, CCN 161598 Hospice Corporate Director Dec 31, 2022
Unitypoint HospiceCedar Rapids, IA, CCN 161516 Hospice Corporate Director Dec 31, 2022

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1679550651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SW ORALABOR RD",
            "address_2": "SUITE 100",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237004",
            "telephone_number": "515-963-4400",
            "fax_number": "515-964-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SW ORALABOR RD",
            "address_2": "SUITE 100",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237004",
            "telephone_number": "515-963-4400",
            "fax_number": "515-964-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ANDREA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "MD-34050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2234203",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679550651",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1234203",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.