Individual provider Active NPI

Evangeline A White, RNFA, FNP-C

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1912937004
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP2831 Issued in AZ
Practice address
1920 N Higley Rd Ste 308
Gilbert, AZ 85234-1625
Phone
(480) 543-6600
Fax
(480) 543-6733
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN040399 AZ
Family Nurse Practitioner 363LF0000X AP2831 AZ Primary

Addresses

Primary practice location

1920 N Higley Rd Ste 308
Gilbert, AZ 85234-1625

Mailing address

1920 N Higley Rd Ste 308
Gilbert, AZ 85234-1625
Phone (480) 543-6600

Other identifiers 1

IdentifierTypeStateIssuer
841488MedicaidAZ

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
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1912937004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 N HIGLEY RD STE 308",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341625",
            "telephone_number": "480-543-6600",
            "fax_number": "480-543-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 N HIGLEY RD STE 308",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341625",
            "telephone_number": "480-543-6600",
            "fax_number": "480-543-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "EVANGELINE",
        "middle_name": "A",
        "credential": "RNFA, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AZ",
            "license": "RN040399",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "841488",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.