Individual provider Active NPI

Nikki White

  • Family Nurse Practitioner
  • Ravenna, OH
National Provider Identifier
1760838239
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19175 Issued in OH
Practice address
6847 N Chestnut St
Ravenna, OH 44266-3929
Phone
(330) 296-9606
NPI assigned
May 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19175 OH Primary

Addresses

Primary practice location

6847 N Chestnut St
Ravenna, OH 44266-3929

Mailing address

6847 N Chestnut St Ste 200
Ravenna, OH 44266-3929

Other practice location 1

6780 Mayfield Rd
Mayfield Heights, OH 44124-2203
Phone (440) 312-4500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nikkiwhite@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160714002182 OH Practitioner - Nurse Practitioner 2163714932 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19175OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Alliance CurrentSince Dec 1, 2022 Accepting new patients
Cleveland Clinic Health System - East Region CurrentSince Jul 16, 2021 Accepting new patients
Care Alliance CurrentSince Dec 1, 2022 Accepting new patients
Cleveland Clinic Health System - East Region CurrentSince Jul 16, 2021 Accepting new patients
The Metrohealth System CurrentSince May 19, 2017 Accepting new patients
The Metrohealth System CurrentSince May 19, 2017 Accepting new patients
Care Alliance Current Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

1530 Saint Clair Ave NE
Cleveland, OH 44114
Phone (216) 535-9100

2916 Central Ave
Cleveland, OH 44115
Phone (216) 535-9100

6001 Woodland Ave
Cleveland, OH 44104
Phone (216) 431-2018

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

Interoperability endpoints

  • Direct secure messaging: nwhite35183@summahealth-direct.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1760838239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6847 N CHESTNUT ST STE 200",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6847 N CHESTNUT ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663929",
            "telephone_number": "330-296-9606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6780 Mayfield Rd",
            "address_purpose": "LOCATION",
            "city": "Mayfield Heights",
            "state": "OH",
            "postal_code": "441242203",
            "country_code": "US",
            "telephone_number": "440-312-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "NIKKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "19175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nikkiwhite@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "6847 N Chestnut St Ste 200",
            "city": "Ravenna",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442663929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

Verify at the official NPI Registry.