Gerard Anthony White, MED, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

J00108 Issued in LA

Practice address

Nicholls State University
906 East First Street
Thibodaux, LA 70310-0001

Phone

(985) 493-2612

Fax

(985) 493-2614

NPI assigned

Jun 30, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780612234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 HERMITAGE DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012916",
            "telephone_number": "985-448-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NICHOLLS STATE UNIVERSITY",
            "address_2": "906 EAST FIRST STREET",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703100001",
            "telephone_number": "985-493-2612",
            "fax_number": "985-493-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "GERARD",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MED, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "J00108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chester Frank Weimer, M.D.
• Ted Weller, D.C.
• Ashley Janee West, PLPC
• Shelley Whitaker, SLP-ASSISTANT
• Victoria White-Pittman, FNP-C
• Sheila Marie White
• Taisha White, LMSW
• Dominique Wilkerson, MCJ
• Rebecca Lynne Wilkinson, PH.D.
• April D Williams, CSW

• Athletic Trainer in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Athletic Trainer in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.