Active NPI
Jeanne S. White, CNP
- Nurse Practitioner
- Parma, OH
National Provider Identifier
1760428932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP-08490
- Practice address
- 12380 Plaza Dr
Parma, OH 44130-1043 - Phone
- (216) 898-8399
- Fax
- (216) 898-8455
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP-08490 | OH | Primary |
Addresses
Primary practice location
12380 Plaza Dr
Parma, OH 44130-1043
Mailing address
3279 Rustic Lake Dr
Medina, OH 44256-8721
Phone (330) 241-4440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2624039 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-08490 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geriatric Nurse Practitioners, Inc. | Nurse Practitioner | Past | Accepting new patients |
| Comprehensive Medical Services LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1427008200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287360000000",
"number": "1760428932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3279 RUSTIC LAKE DR",
"city": "MEDINA",
"state": "OH",
"postal_code": "442568721",
"telephone_number": "330-241-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12380 PLAZA DR",
"city": "PARMA",
"state": "OH",
"postal_code": "441301043",
"telephone_number": "216-898-8399",
"fax_number": "216-898-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JEANNE",
"middle_name": "S.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2010-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "NP-08490",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2624039",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.