Active NPI
Nicole Lee White, D.I.
- Developmental Therapist
- Glasgow, KY
National Provider Identifier
1710324082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 201130296
- Practice address
- 159 Arnett Grove Rd
159 Arnett Grove Rd.
Glasgow, KY 42141-9685 - Phone
- (270) 537-4045
- NPI assigned
- May 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 201130296 | KY | Primary |
Addresses
Primary practice location
159 Arnett Grove Rd
159 Arnett Grove Rd.
Glasgow, KY 42141-9685
Mailing address
159 Arnett Grove Rd
Glasgow, KY 42141-9685
Phone (270) 537-4045
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 |
|---|---|---|---|
| 201130296 | KY | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369699200000",
"number": "1710324082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 ARNETT GROVE RD",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421419685",
"telephone_number": "270-537-4045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 ARNETT GROVE RD",
"address_2": "159 ARNETT GROVE RD.",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421419685",
"telephone_number": "270-537-4045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "NICOLE",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "D.I.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-28",
"last_updated": "2013-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "KY",
"license": "201130296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glasgow, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.