Individual provider Active NPI

Natalie Ann White

  • Occupational Therapist
  • Louisville, KY
National Provider Identifier
1992135537
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31004870A Issued in IN
Practice address
2121 Allston Ave
Louisville, KY 40210-2115
Phone
(502) 741-4588
NPI assigned
Nov 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31004870A IN Primary
Environmental Modification Occupational Therapist 225XE0001X R4292 KY

Addresses

Primary practice location

2121 Allston Ave
Louisville, KY 40210-2115

Mailing address

2121 Allston Ave
Louisville, KY 40210-2115
Phone (502) 741-4588

Other identifiers 2

IdentifierTypeStateIssuer
31004870AOtherIN STATE OT BOARD
R4292OtherKYKY OT BOARD

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31004870AINMDOccupational Therapist
R4292KYMDEnvironmental Modification Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1992135537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 ALLSTON AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402102115",
            "telephone_number": "502-741-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 ALLSTON AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402102115",
            "telephone_number": "502-741-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "NATALIE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004870A",
            "primary": true
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "KY",
            "license": "R4292",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN STATE OT BOARD",
            "identifier": "31004870A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY OT BOARD",
            "identifier": "R4292",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.