Organization Active NPI

Tamara White Geriatric Consulting, LLC

  • Gerontology Nurse Practitioner
  • Terrace Park, OH
National Provider Identifier
1780273094
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
TAMARA WHITE GERIATRIC CONSULTING, LLC
Practice address
1 Swallow FLD
Terrace Park, OH 45174-1029
Phone
(513) 608-4411
NPI assigned
Jan 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
Tamara White, CNPNPI 1396886834
Title
Owner
Phone
(513) 608-4411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X Primary

Addresses

Primary practice location

1 Swallow FLD
Terrace Park, OH 45174-1029

Mailing address

1 Swallow FLD
Terrace Park, OH 45174-1029
Phone (513) 608-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210226002581 OH Part B Supplier - Clinic/Group Practice 1355756222 Receives reassigned benefits from 1 practitioner
Practice locations: Terrace Park, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1780273094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SWALLOW FLD",
            "city": "TERRACE PARK",
            "state": "OH",
            "postal_code": "451741029",
            "telephone_number": "513-608-4411",
            "fax_number": "513-831-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SWALLOW FLD",
            "city": "TERRACE PARK",
            "state": "OH",
            "postal_code": "451741029",
            "telephone_number": "513-608-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARA WHITE GERIATRIC CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-608-4411",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrace Park, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.