Individual provider Active NPI

Rebecca Ivonne White, NP

  • Family Nurse Practitioner
  • Highland Mills, NY
National Provider Identifier
1922669977
Registry record updated May 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344332 Issued in NY
Practice address
64 Woodbury Rd
Highland Mills, NY 10930-2407
Phone
(845) 537-2339
Fax
(866) 619-1923
NPI assigned
Jun 20, 2019
Last updated
May 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2022

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 F344332 NY Primary

Addresses

Primary practice location

64 Woodbury Rd
Highland Mills, NY 10930-2407

Mailing address

64 Woodbury Rd
Highland Mills, NY 10930-2407
Phone (845) 537-2339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250415000604 NY Order and Referring Only - Nurse Practitioner 9537595434

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F344332NYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ms_rwhit126@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653696000000",
    "number": "1922669977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 WOODBURY RD",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109302407",
            "telephone_number": "845-537-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 WOODBURY RD",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109302407",
            "telephone_number": "845-537-2339",
            "fax_number": "866-619-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "REBECCA",
        "middle_name": "IVONNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2022-05-28",
        "certification_date": "2022-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Mills, NY

Sources for this page

Verify at the official NPI Registry.