Individual provider Active NPI

Lindsey Dicus White, NP-C

  • Family Nurse Practitioner
  • Scottsboro, AL
National Provider Identifier
1902205883
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-121648 Issued in AL
Practice address
508 Harley St
Suite D
Scottsboro, AL 35768-4294
Phone
(256) 575-9044
NPI assigned
Aug 17, 2014
Last updated
Feb 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 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 1-121648 AL Primary

Addresses

Primary practice location

508 Harley St
Suite D
Scottsboro, AL 35768-4294

Mailing address

508 Harley St
Suite D
Scottsboro, AL 35768-4294
Phone (256) 575-9044

Other identifiers 1

IdentifierTypeStateIssuer
1-121648OtherALCRNP

Other names 1

  • Lindsey Dicus White Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20160208000457 AL Practitioner - Nurse Practitioner 0749584050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bradford Family Healthcare PCGroup PAC ID 6901034586, 4 clinicians

Practice addresses (Care Compare)

508 Harley St
Suite D
Scottsboro, AL 35768-4263
Phone (256) 259-0734

510 E Laurel St
FL 2
Scottsboro, AL 35768-1927
Phone (256) 259-0734

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-121648ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bradford Family Healthcare PC CurrentSince Jan 1, 2016 Accepting new patients

Locations

508 Harley St
Ste D
Scottsboro, AL 35768
Phone (256) 259-0734

510 E Laurel St
Ste 202
Scottsboro, AL 35768

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7879/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lindsey.white.1@17171.direct.athenahealth.com
  • Direct secure messaging: lindsey.white.1@7879.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1408233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1902205883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HARLEY ST",
            "address_2": "SUITE D",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684294",
            "telephone_number": "256-575-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 HARLEY ST",
            "address_2": "SUITE D",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684294",
            "telephone_number": "256-575-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "LINDSEY",
        "middle_name": "DICUS",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-17",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-121648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP",
            "identifier": "1-121648",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "WHITE",
            "middle_name": "DICUS",
            "credential": "NP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.