Lisa Marie White

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

202532 Issued in OK

Practice address

1904 Gordon Cooper Dr
Shawnee, OK 74801-8603

Phone

(405) 273-2157

NPI assigned

Sep 1, 2026

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

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1922916600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 GORDON COOPER DR",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748018603",
            "telephone_number": "405-273-2157",
            "fax_number": "405-275-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 GORDON COOPER DR",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748018603",
            "telephone_number": "405-273-2157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 McDougal Dr",
            "address_purpose": "LOCATION",
            "city": "Holdenville",
            "state": "OK",
            "postal_code": "748482811",
            "country_code": "US",
            "telephone_number": "405-379-3313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Boren Blvd",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "OK",
            "postal_code": "748682049",
            "country_code": "US",
            "telephone_number": "405-382-4369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OK",
            "license": "202532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxamillian Wheeler
• Rebecca Wheeler
• Rickey Whisenhunt, LPC
• Donna White
• Elishia White
• Stephen White, CADC
• Tiffany Noel White
• Whitney White
• Michelle Whitlock
• Nathan Ogle Whitson, PTA

• Community Health Worker in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Community Health Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.