Autumn Lynn White, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

216257 Issued in AR

Practice address

7245 Sheridan Rd
White Hall, AR 71602-3214

Phone

(870) 850-8055

NPI assigned

Jun 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jefferson Hospital Association, IncGroup PAC ID 8123927431, 80 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071
• Ashley County Medical Center Hospital, Crossett, AR, CCN 041323

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jefferson Hospital Association, Inc

  • Pulmonary Disease Physician
  • Pine Bluff, AR
  • NPI 1932157674
  Medicare reassignment Care Compare group NPD
• Jefferson Hospital Assn, Inc.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pine Bluff, AR
  • NPI 1982940433
  NPD
• Jefferson Hospital Association, Inc

  • Rural Health Clinic/Center
  • Crossett, AR
  • NPI 1225799646
  NPD

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

• Crossett Health Foundation

  • Critical Access Hospital
  • Crossett, AR
  • NPI 1952308215
  Care Compare affiliation
• Jefferson Hospital Association Inc

  • General Acute Care Hospital
  • Pine Bluff, AR
  • NPI 1710931985
  Care Compare affiliation

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1760050132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 HIGHWAY 63",
            "city": "RISON",
            "state": "AR",
            "postal_code": "716658992",
            "telephone_number": "870-723-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7245 SHERIDAN RD",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023214",
            "telephone_number": "870-850-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "AUTUMN",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "216257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White Hall Health & Rehab, LLC
• White Hall Holdings LLC
• White Hall Nursing and Rehabilitation Center LLC
• White Hall School District
• White Hall Walk in Clinic PA
• Kellisha White, MHPP
• Whitehall Pharmacy LLC
• Whitehall Pharmacy LLC
• Ricky Whitmore, QBHP
• Timothee Trevevant Wilkin, D.O., P.A.

• Family Nurse Practitioner in White Hall, AR
• Providers in White Hall, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.