Active NPI
Saundra H White, APRN
- Women's Health Nurse Practitioner
- Benton, KY
National Provider Identifier
1679673735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 2963P
- Practice address
- 267 Slickback Rd
Benton, KY 42025-7629 - Phone
- (270) 527-1496
- Fax
- (270) 527-5321
- NPI assigned
- Sep 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 2963P | KY | Primary |
Addresses
Primary practice location
267 Slickback Rd
Benton, KY 42025-7629
Mailing address
267 Slickback Rd
Benton, KY 42025-7629
Phone (270) 527-1496
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20079018 | Medicaid | KY | |
| 11479929 | Other | KY | CAQH |
| 2963P | Other | KY | STATE LICENSE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439769600000",
"number": "1679673735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 SLICKBACK RD",
"city": "BENTON",
"state": "KY",
"postal_code": "420257629",
"telephone_number": "270-527-1496",
"fax_number": "270-527-5321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 SLICKBACK RD",
"city": "BENTON",
"state": "KY",
"postal_code": "420257629",
"telephone_number": "270-527-1496",
"fax_number": "270-527-5321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "SAUNDRA",
"middle_name": "H",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2015-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "KY",
"license": "2963P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20079018",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11479929",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2963P",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Benton, KY
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0143)
- Wal-Mart Stores East, LP (Vision Center 30-0143)
- Charles Waller, MD
- Wendy Sowell Gibson OD
- West Kentucky Chiropractic and Performance Center (West Kentucky Chiropractic and Performance)
- Madison Brooke Wilkins, RBT
- James Blake Wiseman, PHARMD.
- Kandice Joette Wommack, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.