Individual provider Active NPI

Paula White, NP

  • Family Nurse Practitioner
  • Ithaca, NY
National Provider Identifier
1902200975
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F338829 Issued in NY
Practice address
620 W Seneca St
Ithaca, NY 14850-3326
Phone
(607) 273-1513
Fax
(607) 273-8776
NPI assigned
Oct 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F338829 NY Primary

Addresses

Primary practice location

620 W Seneca St
Ithaca, NY 14850-3326

Mailing address

620 W Seneca St
Ithaca, NY 14850-3326
Phone (607) 273-1513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160523001807 NY Practitioner - Nurse Practitioner 7214226778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Planned Parenthood of Greater New York IncGroup PAC ID 7810293297, 34 clinicians

Practice addresses (Care Compare)

543 Bay Rd
Queensbury, NY 12804-1441
Phone (516) 750-2500

620 W Seneca St
Ithaca, NY 14850-3326
Phone (516) 750-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F338829NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Greater New York Inc CurrentSince Aug 13, 2020 Accepting new patients

Locations

44 Court St
Fl 6
Brooklyn, NY 11201
Phone (718) 852-6879

135 Walnut St
Corning, NY 14830
Phone (607) 962-4686

620 W Seneca St
Ithaca, NY 14850
Phone (607) 273-1513

2141 45th Rd
Long Island City, NY 11101
Phone (212) 965-7000

543 Bay Rd
Queensbury, NY 12804
Phone (518) 761-2663

Interoperability endpoints

  • Direct secure messaging: paula.white.p2@direct.usppny.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1902200975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W SENECA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503326",
            "telephone_number": "607-273-1513",
            "fax_number": "607-273-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W SENECA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503326",
            "telephone_number": "607-273-1513",
            "fax_number": "607-273-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "PAULA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.