Derek Lee White, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A005387 Issued in AR

Practice address

385 Old Troy Rd
Monticello, AR 71655-9181

Phone

(870) 723-3513

NPI assigned

Oct 11, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delta Memorial HospitalGroup PAC ID 1658262241, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Delta Memorial Hospital Hospital, Dumas, AR, CCN 041326

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/deltamh-91f47cd8

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.

• Delta Memorial Hospital

  • Critical Access Hospital
  • Dumas, AR
  • NPI 1295767689
  Medicare reassignment Care Compare group NPD
• Delta Memorial Hospital

  • Clinic/Center
  • Dumas, AR
  • NPI 1083439012
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Delta Memorial Hospital

  • Critical Access Hospital
  • Dumas, AR
  • NPI 1295767689
  Care Compare affiliation

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1992215354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 OLD TROY RD",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716559181",
            "telephone_number": "870-723-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 OLD TROY RD",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716559181",
            "telephone_number": "870-723-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DEREK",
        "middle_name": "LEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005387",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A005387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niluka Eroshini Weier, LPC
• Bill Gene Wells, MHPP
• Catherine West-Binns, QBHP
• Jamie Catherine West, APRN, FNP-C
• Virginia P West
• Lois White, QBHP
• Niketta White
• Samantha Wilkerson
• Sammy Wilkerson, LPC/LADAC
• John Douglas Williams, AT

• Nurse Practitioner in Monticello, AR
• Providers in Monticello, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.