White Eagle

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

WHITE EAGLE

Practice address

4306 12TH Rd S Apt 1
Arlington, VA 22204-3744

Phone

(703) 650-8982

Fax

(571) 970-3939

NPI assigned

Jul 7, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Khadija Idemnati

Title

Owner

Phone

(703) 415-6603

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1730750217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 12TH RD S APT 1",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222043744",
            "telephone_number": "703-650-8982",
            "fax_number": "571-970-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 12TH RD S APT 1",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222043744",
            "telephone_number": "703-650-8982",
            "fax_number": "571-970-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE EAGLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "IDEMNATI",
        "authorized_official_first_name": "KHADIJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-415-6603",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "arlington",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4306 12th Rd S Apt 1",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222043744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emelyn Mills Weyandt, RPH
• Whidbey Island Public Hospital District
• Sarah Whiddon
• Courtnee Whitaker, LCSW
• Janie Lynn Whitaker, LCSW
• Christine White, LPC
• Diane Marie White, RN NP-C
• Heather Nicole White, DPT
• Jessica C White, NP
• Lee Thomas White, M.D.

• Non-emergency Medical Transport (VAN) in Arlington, VA
• Providers in Arlington, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.