Individual provider Active NPI

Nancy L. White, NP-C, CRNFA

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1811919806
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN069170 Issued in AZ
Practice address
36 N Country Club Dr
Phoenix, AZ 85014-5441
Phone
(602) 279-1384
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN069170 AZ Primary
Registered Nurse First Assistant 163WR0006X AP1855 AZ
Family Nurse Practitioner 363LF0000X AP1855 AZ

Addresses

Primary practice location

36 N Country Club Dr
Phoenix, AZ 85014-5441

Mailing address

36 N Country Club Dr
Phoenix, AZ 85014-5441
Phone (602) 279-1384

Other identifiers 1

IdentifierTypeStateIssuer
852237MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040526000009 AZ Practitioner - Nurse Practitioner 5597746636 Reassigns benefits to 1 organization
Practice locations: Scottsdale, AZ; Flagstaff, AZ; Phoenix, AZ; Glendale, AZ; Gilbert, AZ; Chandler, AZ; Mesa, AZ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Associates LTDGroup PAC ID 8820993967, 76 clinicians

Practice addresses (Care Compare)

1875 W Frye Rd
Suite 300
Chandler, AZ 85224-6184
Phone (480) 917-5600

Hospital & facility affiliations

  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN069170AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates, LTD CurrentSince Jun 15, 2018 Accepting new patients
Neurosurgical Associates, LTD CurrentSince Jun 15, 2018 Accepting new patients

Locations

1875 W Frye Rd
Ste 300
Chandler, AZ 85224
Phone (480) 917-5600

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

2910 N 3rd Ave
#200
Phoenix, AZ 85013
Phone (602) 406-3008

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

Interoperability endpoints

  • Direct secure messaging: nancy.white.1@31799.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1811919806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 N COUNTRY CLUB DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145441",
            "telephone_number": "602-279-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 N COUNTRY CLUB DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145441",
            "telephone_number": "602-279-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "NANCY",
        "middle_name": "L.",
        "credential": "NP-C, CRNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN069170",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AZ",
            "license": "AP1855",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP1855",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "852237",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.