Organization Active NPI

White Crane Clinic Inc

  • Clinic/Center
  • Tarpon Springs, FL
National Provider Identifier
1891260949
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WHITE CRANE CLINIC INC
Practice address
9 Hibiscus St Ste 5
Tarpon Springs, FL 34689-3436
Phone
(727) 942-4249
Fax
(727) 258-2558
NPI assigned
Oct 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Authorized official

Name
Rebekah Mary Sullivan, MBA
Title
Chief Operations Officer
Phone
(727) 942-4249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

9 Hibiscus St Ste 5
Tarpon Springs, FL 34689-3436

Mailing address

114 E Tarpon Ave # 2
Tarpon Springs, FL 34689-3452
Phone (727) 942-4249

National Provider Directory

National Provider Directory

Locations

9 Hibiscus St
Ste 5
Tarpon Springs, FL 34689
Phone (727) 942-4249

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1891260949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E TARPON AVE # 2",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893452",
            "telephone_number": "727-942-4249",
            "fax_number": "727-258-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HIBISCUS ST STE 5",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893436",
            "telephone_number": "727-942-4249",
            "fax_number": "727-258-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE CRANE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "727-942-4249",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.

Verify at the official NPI Registry.