Active NPI
Gina D White, FNP
- Nurse Practitioner
- Santa Monica, CA
National Provider Identifier
1871733154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2010027593
- Practice address
- 2121 Santa Monica Blvd
Santa Monica, CA 90404-2303 - Phone
- (310) 582-7137
- Fax
- (310) 582-7140
- NPI assigned
- Feb 26, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2010027593 | MO | Primary |
Addresses
Primary practice location
2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Mailing address
PO Box 7687
Columbia, MO 65205-7687
Phone (573) 882-2259
Other names 1
- Ms. Gina D White
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gwhite751072@oc.providencedirect.org |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- gwhite751072@oc.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1871733154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7687",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652057687",
"telephone_number": "573-882-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 SANTA MONICA BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042303",
"telephone_number": "310-582-7137",
"fax_number": "310-582-7140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "GINA",
"middle_name": "D",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-26",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2010027593",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gwhite751072@oc.providencedirect.org",
"affiliation": "N",
"address_1": "2121 Santa Monica Blvd",
"city": "Santa Monica",
"state": "CA",
"country_code": "US",
"postal_code": "904042303",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "GINA",
"last_name": "WHITE",
"middle_name": "D",
"prefix": "MS.",
"credential": "FNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.