Active NPI
Kathleen Mary White, D.C.
- Chiropractor
- Wilmington, NC
National Provider Identifier
1902006935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2350
- Practice address
- 3715 Patriot Way
Unit 143
Wilmington, NC 28412-6907 - Phone
- (910) 395-2774
- Fax
- (910) 395-2474
- NPI assigned
- Jul 18, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2350 | NC | Primary |
Addresses
Primary practice location
3715 Patriot Way
Unit 143
Wilmington, NC 28412-6907
Mailing address
3715 Patriot Way
Unit 143
Wilmington, NC 28412-6907
Phone (910) 395-2774
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069367 | Other | NC | UPIN # |
| 0833E | Other | NC | BC/BS PROVIDER # |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Health P.L.L.C. | 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.
-
- Physical Therapy Clinic/Center
- Wilmington, NC
- NPI 1881032142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1902006935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3715 PATRIOT WAY",
"address_2": "UNIT 143",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126907",
"telephone_number": "910-395-2774",
"fax_number": "910-395-2474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3715 PATRIOT WAY",
"address_2": "UNIT 143",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126907",
"telephone_number": "910-395-2774",
"fax_number": "910-395-2474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "KATHLEEN",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-18",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN #",
"identifier": "069367",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER #",
"identifier": "0833E",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.