Tina M White

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

41 Maple St
New Gloucester, ME 04260-4428

Phone

(207) 926-4349

NPI assigned

Oct 29, 2009

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2009.

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1982930715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MAPLE ST",
            "city": "NEW GLOUCESTER",
            "state": "ME",
            "postal_code": "042604428",
            "telephone_number": "207-926-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MAPLE ST",
            "city": "NEW GLOUCESTER",
            "state": "ME",
            "postal_code": "042604428",
            "telephone_number": "207-926-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TINA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230510000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Town of New Gloucester
• Todd Alan Tritch, M.D.
• Trusted Souls Adult Daycare Center, LLC
• Annette Lynn Tynes, S-L THERAPIST
• Leda Kathryn Werrell, FNP
• Whittier House Inc
• Ronald Harold Whittier
• Alisha Wilson, LMSW-CC

• All providers in New Gloucester, ME
• Rehabilitation Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.