Individual provider Active NPI

Jeri J White, D.O.

  • Family Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1952334716
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
45529 Issued in CO
Practice address
2478 Patterson Rd
Ste 27
Grand Junction, CO 81505-3606
Phone
(970) 242-3200
Fax
(970) 245-0705
NPI assigned
Jul 7, 2006
Last updated
Aug 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 45529 CO Primary

Addresses

Primary practice location

2478 Patterson Rd
Ste 27
Grand Junction, CO 81505-3606

Mailing address

2478 Patterson Rd
Ste 27
Grand Junction, CO 81505-3606
Phone (970) 242-3200

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
45529COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Family Medicine LLC Family Medicine Past Accepting new patients
Metro Treatment of Colorado LP PastSince Jul 22, 2021 Accepting new patients

Organizations & group practices 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1952334716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2478 PATTERSON RD",
            "address_2": "STE 27",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815053606",
            "telephone_number": "970-242-3200",
            "fax_number": "970-245-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2478 PATTERSON RD",
            "address_2": "STE 27",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815053606",
            "telephone_number": "970-242-3200",
            "fax_number": "970-245-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JERI",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "45529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.