Individual provider Active NPI

Katherine Victoria White, NP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1699396630
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN281279 Issued in GA
Practice address
1438 W Peachtree St NW
Atlanta, GA 30309-2998
Phone
(470) 283-7349
Fax
(833) 689-2507
NPI assigned
Apr 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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 RN281279 GA Primary

Addresses

Primary practice location

1438 W Peachtree St NW
Atlanta, GA 30309-2998

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20200805002552 GA Practitioner - Nurse Practitioner 2163847385 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN281279GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases Associates, PC CurrentSince May 1, 2024 Accepting new patients
AIDS Healthcare Foundation CurrentSince Jul 8, 2024 Accepting new patients
One Stop Medical Services CurrentSince Aug 3, 2022 Accepting new patients
Positive Impact Health Centers, Inc. CurrentSince Oct 15, 2021 Accepting new patients
AIDS Healthcare Foundation CurrentSince Jul 8, 2024 Accepting new patients
Positive Impact Health Centers Inc CurrentSince Oct 15, 2021 Accepting new patients
TLC of Georgia LLC Family CurrentSince Jul 29, 2020 Accepting new patients
Clark Robinson, M.D.,P.C. PastSince Aug 3, 2022 Accepting new patients
AIDS Healthcare Foundation Past Accepting new patients
One Stop Medical Clinic Past Accepting new patients

Locations

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

1438 W Peachtree St NW
Atlanta, GA 30309
Phone (470) 283-7349

735 Piedmont Ave NE
Atlanta, GA 30308
Phone (404) 588-4680

1355 S Park St
Carrollton, GA 30117
Phone (678) 664-3293

455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

6559 Church St
Douglasville, GA 30134
Phone (770) 490-2634

3350 Breckinridge Blvd
Ste 200
Duluth, GA 30096
Phone (770) 962-8396

3075 Breckinridge Blvd
Ste 415
Duluth, GA 30096
Phone (770) 962-8396

5700 Hillandale Dr
Ste 100
Lithonia, GA 30058
Phone (770) 593-6684

6285 Garden Walk Blvd
Ste A
Riverdale, GA 30274
Phone (404) 991-1500

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6123adb2-d0d2-485a-9dcf-5fba87efb2ef/
  • Direct secure messaging: katherine.white.1@26356.direct.athenahealth.com

Organizations & group practices 10

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": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1699396630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 W PEACHTREE ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092998",
            "telephone_number": "470-283-7349",
            "fax_number": "833-689-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KATHERINE",
        "middle_name": "VICTORIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN281279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.