Denae Marie White

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

815 Locust St
Red Bud, IL 62278-1210

Phone

(618) 282-3507

NPI assigned

Oct 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Red Bud Comm Unit School Dist 132

  • Local Education Agency (LEA)
  • Red Bud, IL
  • NPI 1588865547
  NPD (past)

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1902523178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S VAN BUREN ST",
            "city": "NEW ATHENS",
            "state": "IL",
            "postal_code": "622641323",
            "telephone_number": "618-910-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 LOCUST ST",
            "city": "RED BUD",
            "state": "IL",
            "postal_code": "622781210",
            "telephone_number": "618-282-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DENAE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Renal Care Inc
• Lori R Trost, DMD
• Danielle A Turner, APN
• Susan Renee Tuttle, APN
• John L Vinyard, PHD
• Kristin Lynn Wolter, LCPC
• Mary O Wunderlich, PA
• Donna Yeargin

• Speech-Language Pathologist in Red Bud, IL
• Providers in Red Bud, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.