Individual provider Active NPI

Tony White

  • Registered Nurse
  • Dubuque, IA
National Provider Identifier
1841735552
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
42925 Issued in ID
Practice address
1515 Delhi St
Suite 300
Dubuque, IA 52001-6320
Phone
(563) 557-5991
NPI assigned
Jan 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 42925 ID Primary
Certified Registered Nurse Anesthetist 367500000X 114339 TN

Addresses

Primary practice location

1515 Delhi St
Suite 300
Dubuque, IA 52001-6320

Mailing address

1515 Delhi St
Suite 300
Dubuque, IA 52001-6320
Phone (563) 557-5991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170403001575 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133404221 Reassigns benefits to 1 organization
I20250724000593 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133404221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grandview Anesthesia PCGroup PAC ID 0749691335, 15 clinicians

Practice addresses (Care Compare)

350 N Grandview Ave
Unity Point Health Finley Hospital
Dubuque, IA 52001-6388
Phone (563) 582-1881

454 Badger Rd
Hazel Green, WI 53811-9787
Phone (608) 473-1700

Hospital & facility affiliations

  • Finley Hospital Hospital, Dubuque, IA, CCN 160117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
42925IDMDRegistered Nurse
114339TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Grandview Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Oct 7, 2020 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Dodge Street Anesthesiologists PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881

454 Badger Rd
Hazel Green, WI 53811
Phone (563) 557-5930

Interoperability endpoints

  • Direct secure messaging: twhite472975@direct.unitypoint.org

Organizations & group practices 3

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 1

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": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1841735552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 DELHI ST",
            "address_2": "SUITE 300",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016320",
            "telephone_number": "563-557-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 DELHI ST",
            "address_2": "SUITE 300",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016320",
            "telephone_number": "563-557-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "42925",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "114339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.