Katrina Ebony White, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

333784 Issued in LA

Practice address

1616 Fats Domino Ave
New Orleans, LA 70117-2950

Phone

(504) 533-4999

Fax

(504) 301-1554

NPI assigned

Apr 17, 2019

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

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: katrina.white.1@12400.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/12400/brand/1/csg/1/fhir/r4

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.

• Baptist Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1003321597
  NPD (past)
• Baptist Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Chalmette, LA
  • NPI 1629567623
  NPD (past)
• Baptist Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1770098253
  NPD (past)
• Baptist Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1780199265
  NPD (past)
• Baptist Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1780382531
  NPD (past)
• Baptist Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mandeville, LA
  • NPI 1952941767
  NPD (past)

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1972166650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 SAINT CLAUDE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701174258",
            "telephone_number": "504-533-4999",
            "fax_number": "504-301-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 FATS DOMINO AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701172950",
            "telephone_number": "504-533-4999",
            "fax_number": "504-301-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KATRINA",
        "middle_name": "EBONY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2022-10-12",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "333784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Durwood White II, MD
• Jennifer Doll White, RD
• Jordan Garrett White
• Josie Louise White, DBH, NCC, LPC, LMFT
• Kaila White
• Kaylon White
• Margaret White, MCD, CCC-SLP
• Mia S White, LCSW
• Michelle White
• Nancy H. White, MFA

• Internal Medicine Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.