Active NPI
Jessica C White Plume, PH.D., M.P.H.
- Psychologist
- Grand Forks, ND
National Provider Identifier
1891986261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 2808 17TH Ave S
Grand Forks, ND 58201-4010 - Phone
- (701) 746-8376
- NPI assigned
- Aug 9, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
2808 17TH Ave S
Grand Forks, ND 58201-4010
Mailing address
2249 Fallcreek CT
Grand Forks, ND 58201-5236
Phone (218) 791-4309
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
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lipp, Carlson, Witucki & Associates, LTD | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Grand Forks, ND
- NPI 1043316961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186617600000",
"number": "1891986261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2249 FALLCREEK CT",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582015236",
"telephone_number": "218-791-4309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2808 17TH AVE S",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014010",
"telephone_number": "701-746-8376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE PLUME",
"first_name": "JESSICA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PH.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-09",
"last_updated": "2007-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.