Mari White, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

899855 Issued in TX

Practice address

8389 S Broadway Ave
Tyler, TX 75703-5408

Phone

(903) 606-8142

NPI assigned

Aug 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Mari White Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1861112005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19860 VALLEY DALE LN",
            "city": "FLINT",
            "state": "TX",
            "postal_code": "757626982",
            "telephone_number": "903-258-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8389 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035408",
            "telephone_number": "903-606-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MARI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "899855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARI",
            "last_name": "WHITE",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gary C. White, M.D.
• Hannah Celeste White, MD
• Jennifer White
• Jennifer White
• Latrelle Lacole White
• Pamela White
• Shatocquwa White
• Sheneka White
• Sujatha Abraham White, MD
• Travis Michael White, MA, LPC-S

• Critical Care Medicine Registered Nurse in Tyler, TX
• Providers in Tyler, TX by specialty
• Critical Care Medicine Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.