Individual provider Active NPI

Jennifer E White-Slough, APRN

  • Nurse Practitioner
  • Manhattan, KS
National Provider Identifier
1750646238
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
104871 Issued in KS
Practice address
1823 College Ave
Manhattan, KS 66502
Phone
(785) 776-2800
Fax
(785) 565-4754
NPI assigned
Jul 10, 2012
Last updated
Dec 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 75695 KS
Nurse Practitioner 363L00000X 104871 KS Primary

Addresses

Primary practice location

1823 College Ave
Manhattan, KS 66502

Mailing address

1823 College Ave
Manhattan, KS 66502-3381
Phone (785) 776-2800

Other practice location 1

200 Commodore St
Pratt, KS 67124-2903
Phone (620) 672-7451

Other names 1

  • Jennifer E White Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20120920000653 KS Practitioner - Nurse Practitioner 6800044520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prairie Winds Family Care LLCGroup PAC ID 5698184786, 3 clinicians

Practice addresses (Care Compare)

1507 W US Hwy 24
Wamego, KS 66547-1322
Phone (785) 456-9773

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104871KSMDNurse Practitioner
75695KSMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Winds Family Care LLC CurrentSince Aug 18, 2020 Accepting new patients
Lincoln County Hospital Current Accepting new patients
Geary County Hospital Past Accepting new patients
Community Memorial Healthcare, Inc. PastSince Aug 20, 2012 Accepting new patients
Geary County Hospital PastSince Apr 15, 2013 Accepting new patients
Geary County Hospital Past Accepting new patients

Locations

624 N 2nd St
Lincoln, KS 67455
Phone (785) 524-4403

1507 W US Highway 24
Wamego, KS 66547
Phone (785) 456-9773

904 5th St
Wamego, KS 66547
Phone (785) 456-9773

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22639/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.white-slough.1@20807.direct.athenahealth.com
  • Direct secure messaging: jennifer.white-slough.1@22639.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1750646238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 COLLEGE AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023381",
            "telephone_number": "785-776-2800",
            "fax_number": "785-565-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 COLLEGE AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "66502",
            "telephone_number": "785-776-2800",
            "fax_number": "785-565-4754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Commodore St",
            "address_purpose": "LOCATION",
            "city": "Pratt",
            "state": "KS",
            "postal_code": "671242903",
            "country_code": "US",
            "telephone_number": "620-672-7451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE-SLOUGH",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KS",
            "license": "75695",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "104871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WHITE",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.