Jan Birdwell-White, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA09273 Issued in TX

Practice address

1534 Latigo LN
Flower Mound, TX 75022-6589

Phone

(214) 536-8670

NPI assigned

Apr 18, 2016

Last updated

Apr 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Janet Leigh White Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1891149753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 LATIGO LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750226589",
            "telephone_number": "214-536-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 LATIGO LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750226589",
            "telephone_number": "214-536-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDWELL-WHITE",
        "first_name": "JAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA09273",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA09273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "WHITE",
            "middle_name": "LEIGH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David Scott Bickelhaupt, P.T.
• Jenny Elaine Bickerstaff, F.N.P.
• Paulina Bigos
• Bindu Nair MD PLLC
• Tonia Bingham
• Ashley Sharrell Birmingham, M.D.
• Amelie Biskup, D.C.
• Melanie Bitzer, RN, MSN, CPNP
• Jasmin Korin Blackburn
• Shawn Andrew Blad, DC

• Medical Physician Assistant in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.