Individual provider Active NPI

Rebecca White, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Joseph, MO
National Provider Identifier
1902559479
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2009017595 Issued in MO
Practice address
724 N 22ND St
Saint Joseph, MO 64506-2604
Phone
(816) 390-4084
NPI assigned
Feb 3, 2022
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2009017595 MO Primary

Addresses

Primary practice location

724 N 22ND St
Saint Joseph, MO 64506-2604

Mailing address

724 N 22ND St
Saint Joseph, MO 64506-2604
Phone (816) 390-4084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20230119000642 MO Practitioner - Nurse Practitioner 1456722008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Guidance Center for Behavioral HealthcareGroup PAC ID 6800707571, 18 clinicians

Practice addresses (Care Compare)

724 N 22ND St
Saint Joseph, MO 64506-2604
Phone (816) 364-1501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2009017595MOMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Family Guidance Center for Behavioral Healthcare CurrentSince Oct 14, 2022 Accepting new patients

Locations

724 N 22nd St
Saint Joseph, MO 64506
Phone (816) 396-5800

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.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1902559479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 N 22ND ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062604",
            "telephone_number": "816-390-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 N 22ND ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062604",
            "telephone_number": "816-390-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "REBECCA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2009017595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.