Active NPI
Evangeline A White, RNFA, FNP-C
- Family Nurse Practitioner
- Gilbert, AZ
National Provider Identifier
1912937004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP2831
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 841488 | Medicaid | AZ |
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.