Felise White, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

543796 Issued in CA

Practice address

9705 Holmes Ave
Los Angeles, CA 90002-3031

Phone

(323) 249-9097

NPI assigned

Aug 5, 2020

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Canon Human Services Centers Inc

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
  • NPI 1437582186
  NPD (past)
• Canon Human Services Centers, Inc,

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1558753004
  NPD (past)

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1972113868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 W REDONDO BEACH BLVD APT 305",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474271",
            "telephone_number": "310-710-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9705 HOLMES AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900023031",
            "telephone_number": "323-249-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "FELISE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "543796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas White
• Elena White, M.A., LMFT
• Eric Allan White, M.D.
• Erin White, PPSC
• Eron Christopher White Jr.
• Geneva J. White
• Geoffry Del White, PH.D.
• Glenn White, PH.D.
• Heather Lynn White, PHARMD.
• Herbert Thomas White

• Registered Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.