Individual provider Active NPI

Mandy Y White, MSN,RN,CNP

  • Adult Health Nurse Practitioner
  • Garfield HTS, OH
National Provider Identifier
1821187527
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP-09099 Issued in OH
Practice address
12000 McCracken Rd
Suite 550
Garfield HTS, OH 44125-2964
Phone
(216) 663-8686
Fax
(216) 663-2153
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP-09099 OH Primary
Adult Health Nurse Practitioner 363LA2200X RN-276588 OH

Addresses

Primary practice location

12000 McCracken Rd
Suite 550
Garfield HTS, OH 44125-2964

Mailing address

12000 McCracken Rd
Suite 550
Garfield HTS, OH 44125-2964
Phone (216) 663-8686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
NP-09099OHMDAdult Health Nurse Practitioner
RN-276588OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Renaissance Counseling Service Inc. PastSince Jan 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mwhitecnp4456@direct.ccf.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1821187527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN RD",
            "address_2": "SUITE 550",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441252964",
            "telephone_number": "216-663-8686",
            "fax_number": "216-663-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN RD",
            "address_2": "SUITE 550",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441252964",
            "telephone_number": "216-663-8686",
            "fax_number": "216-663-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MANDY",
        "middle_name": "Y",
        "credential": "MSN,RN,CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP-09099",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "RN-276588",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield HTS, OH

Sources for this page

Verify at the official NPI Registry.