Active NPI
Kyrbie White
- Clinical Social Worker
- Belton, TX
National Provider Identifier
1720710148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 50179
- Practice address
- 80 Morgans Point Rd Ste 105
Belton, TX 76513-6886 - Phone
- (254) 831-3029
- NPI assigned
- Jun 24, 2022
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 50179 | TX | Primary |
Addresses
Primary practice location
80 Morgans Point Rd Ste 105
Belton, TX 76513-6886
Mailing address
654 Quitman CT
Belton, TX 76513-9301
Phone (254) 644-6861
Other practice location 1
654 Quitman Ct
Belton, TX 76513-9301
Phone (254) 644-6861
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 |
|---|---|---|---|
| 50179 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1720710148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "654 QUITMAN CT",
"city": "BELTON",
"state": "TX",
"postal_code": "765139301",
"telephone_number": "254-644-6861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 MORGANS POINT RD STE 105",
"city": "BELTON",
"state": "TX",
"postal_code": "765136886",
"telephone_number": "254-831-3029"
}
],
"practiceLocations": [
{
"address_1": "654 Quitman Ct",
"address_purpose": "LOCATION",
"city": "Belton",
"state": "TX",
"postal_code": "765139301",
"country_code": "US",
"telephone_number": "254-644-6861",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "KYRBIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-24",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "50179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.