Jennifer Kim White, DNP, NNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

AP61339464 Issued in WA

Practice address

4205 Wheaton Way
Bremerton, WA 98310-3665

Phone

(360) 782-7103

NPI assigned

Feb 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1750915989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46306 287TH AVE SE",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980225080",
            "telephone_number": "206-799-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103665",
            "telephone_number": "360-782-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JENNIFER",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "DNP, NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "WA",
            "license": "RN60659824",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "WA",
            "license": "AP61339464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Jay Wheeler
• Kevin L Wheelock, CRNA
• Amanda Whipple
• Emili Whitaker-Johnson
• Sydney Whitaker, BSW
• Mario White, LMHC
• Paul White
• Thomas White
• Virginia White, NP
• Pamela Whiteley, LMHC

• Neonatal Nurse Practitioner in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Neonatal Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.