Active NPI
Kathleen Elizabeth White, C.P.O
- Orthotist
- Greenfield, WI
National Provider Identifier
1871061069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Practice address
- 6790 W. Layton Ave
Greenfield, WI 53220 - Phone
- (414) 282-3100
- Fax
- (414) 282-3101
- NPI assigned
- Nov 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | |||
| Orthotist | 222Z00000X | Primary |
Addresses
Primary practice location
6790 W. Layton Ave
Greenfield, WI 53220
Mailing address
326 W. Florida St.
Apt #206
Milwaukee, WI 53204
Phone (847) 347-1605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100027871 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1871061069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 W. FLORIDA ST.",
"address_2": "APT #206",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53204",
"telephone_number": "847-347-1605",
"fax_number": "414-282-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6790 W. LAYTON AVE",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "53220",
"telephone_number": "414-282-3100",
"fax_number": "414-282-3101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "KATHLEEN",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "C.P.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-06",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100027871",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.