Organization Active NPI

Angela White Arnp PLLC

  • Community/Behavioral Health Agency
  • Fleming Island, FL
National Provider Identifier
1841592896
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3298772 Issued in FL
Legal business name
ANGELA WHITE ARNP PLLC
Practice address
132 Whispering Woods Dr
Fleming Island, FL 32003-8137
Phone
(904) 304-2607
NPI assigned
Nov 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Authorized official

Name
Angela White, NURSE PRACTITIONER
Title
Owner
Phone
(904) 304-2607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3298772 FL Primary

Addresses

Primary practice location

132 Whispering Woods Dr
Fleming Island, FL 32003-8137

Mailing address

5000 US Highway 17
44
Orange Park, FL 32003-8230
Phone (904) 204-2607

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101229000303 FL Part B Supplier - Clinic/Group Practice 8022206465 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fleming Island, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5000 US Highway 17
#44
Orange Park, FL 32003

Practitioners & affiliated clinicians

Practitioners 2

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": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1841592896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 US HIGHWAY 17",
            "address_2": "44",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320038230",
            "telephone_number": "904-204-2607",
            "fax_number": "904-215-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 WHISPERING WOODS DR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038137",
            "telephone_number": "904-304-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA WHITE ARNP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-304-2607",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "3298772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.