James Evan White

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

00000 Issued in ND

Practice address

921 2ND Ave S
Fargo, ND 58103-1705

Phone

(701) 361-9922

NPI assigned

May 25, 2022

Last updated

May 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Light House Recovery Services

  • Community/Behavioral Health Agency
  • Fargo, ND
  • NPI 1144920828
  NPD
• Lighthouse Church of Fargo

  • Case Manager/Care Coordinator
  • Fargo, ND
  • NPI 1316531817
  NPD

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1700524139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 9TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031830",
            "telephone_number": "701-361-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 2ND AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031705",
            "telephone_number": "701-361-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JAMES",
        "middle_name": "EVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ND",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171M00000X",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• White Drug Co of Jamestown Inc (Thrifty White Pharmacy #085)
• White Drug Co of Jamestown Inc (White Drug #39)
• White Drug Co of Jamestown Inc (Thrifty White Pharmacy #068)
• White Vault Investment LLC (Olive Haven Care)
• Candice White, APN
• Lisa White
• Melanie Jean White, LICSW
• Michael A White, MD
• Natalie White, LRD
• Troy White

• Case Manager/Care Coordinator in Fargo, ND
• Providers in Fargo, ND by specialty
• Case Manager/Care Coordinator in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.