Active NPI
Stephen John White, MS, LCGC
- Genetic Counselor (M.S.)
- Ames, IA
National Provider Identifier
1952815284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Practice address
- 1111 Duff Ave
Ames, IA 50010-5745 - Phone
- (515) 956-6440
- Fax
- (515) 956-2871
- NPI assigned
- Nov 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | Primary |
Addresses
Primary practice location
1111 Duff Ave
Ames, IA 50010-5745
Mailing address
1111 Duff Ave
Ames, IA 50010-5745
Phone (515) 956-6440
Other practice location 1
1 Hospital Dr # Dc116.11
Columbia, MO 65212-1000
Phone (573) 882-5133
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1952815284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 DUFF AVE",
"city": "AMES",
"state": "IA",
"postal_code": "500105745",
"telephone_number": "515-956-6440",
"fax_number": "515-956-2871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 DUFF AVE",
"city": "AMES",
"state": "IA",
"postal_code": "500105745",
"telephone_number": "515-956-6440",
"fax_number": "515-956-2871"
}
],
"practiceLocations": [
{
"address_1": "1 Hospital Dr # Dc116.11",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652121000",
"country_code": "US",
"telephone_number": "573-882-5133",
"fax_number": "573-884-3853",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "STEPHEN",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "MS, LCGC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-22",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.