Individual provider Active NPI

Katheryn Dee White, NP-C

  • Family Nurse Practitioner
  • Lowell, IN
National Provider Identifier
1770117673
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009899A Issued in IN
Practice address
4500 W 181St Ave
Lowell, IN 46356-0017
Phone
(219) 690-2016
Fax
(219) 690-1862
NPI assigned
Feb 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28146681A IN
Family Nurse Practitioner 363LF0000X 71009899A IN Primary

Addresses

Primary practice location

4500 W 181St Ave
Lowell, IN 46356-0017

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

6699 Alvarado Rd Ste 2209
San Diego, CA 92120-5240
Phone (858) 299-0009 ext. 104

Other identifiers 1

IdentifierTypeStateIssuer
1538717483OtherINGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200420003005 IN Practitioner - Nurse Practitioner 8729418496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

4500 W 181St Ave
Lowell Health Center
Lowell, IN 46356-0017
Phone (219) 690-2016

Hospital & facility affiliations

  • Franciscan Home Care Home health agency, Hobart, IN, CCN 157145
  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
  • Franciscan Health Dyer Hospital, Dyer, IN, CCN 150090
  • Franciscan Health Rensselaer, Inc Hospital, Rensselaer, IN, CCN 151324
  • Community Hospital Hospital, Munster, IN, CCN 150125
  • Franciscan Health Munster Hospital, Munster, IN, CCN 150165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28146681AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Aug 14, 2023 Accepting new patients
Core Therapy LLC CurrentSince Jan 7, 2021 Accepting new patients
Franciscan Physician Network CurrentSince Aug 14, 2023 Accepting new patients
Hope-Facs L.L.C. CurrentSince Mar 1, 2020 Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

10971 Four Seasons Pl
Ste 121
Crown Point, IN 46307

11055 Broadway
Ste A
Crown Point, IN 46307
Phone (219) 797-7463

7781 E Ridge Rd
Ste B
Hobart, IN 46342
Phone (219) 769-4567

4500 W 181st Ave
Lowell, IN 46356
Phone (219) 690-2016

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: katheryn.ziron.nwispineinstitute@nwisi.direct.systemedx.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1770117673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 W 181ST AVE",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463560017",
            "telephone_number": "219-690-2016",
            "fax_number": "219-690-1862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6699 Alvarado Rd Ste 2209",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921205240",
            "country_code": "US",
            "telephone_number": "858-299-0009 x104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KATHERYN",
        "middle_name": "DEE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28146681A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009899A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1538717483",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, IN

Sources for this page

Verify at the official NPI Registry.