EDDIE VERNON WHITE (NPI# 1023166881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023166881 |
| Entity Type | Individual |
| Full Name | EDDIE VERNON WHITE |
| Credential | C.P. |
| Practice Address |
3224 Lake Woodard Dr Suite 100 Raleigh NC 27604-3659 |
| Practice Telephone | 9192316890 |
| Practice Fax Number | 9192313490 |
| Mailing Telephone | 9192316890 |
| Mailing Fax Number | 9192313490 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2013-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7795002 | 05 | |
| NC | BCBS | 0414L | 01 |
| NC | 7704336 | 05 | |
| NC | 7702039 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629555917 | Eddie White | Rehabilitation Practitioner | 3680 N Rancho Dr, Las Vegas, NV 89130-3180 | 2018-07-19 |
| 1073009528 | Eddie White | Counselor | 2706 Hodges St, Lake Charles, LA 70601-7366 | 2018-07-09 |
| 1174825848 | Eddie James White II | Pharmacist | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2010-12-01 |
| 1295854867 | Eddie White | Physical Therapy Assistant | 101 13th St, Huntington, WV 25701-1653 | 2007-03-28 |
| Street Address |
3224 LAKE WOODARD DR SUITE 100 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27604-3659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730140823 | Adaptive Technologies LLC | Prosthetic/Orthotic Supplier | 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659 | 2006-03-29 |
| 1225562283 | Rebekka Jonette Reets | Orthotic Fitter | 3224 Lake Woodard Dr, Raleigh, NC 27604-3659 | 2017-04-17 |
| 1588110563 | Elizabeth Stuenkel Selgrade | Orthotist | 3224 Lake Woodard Dr, Raleigh, NC 27604-3659 | 2016-08-30 |
| 1750773651 | Melanie Larsson | Orthotist | 3224 Lake Woodard Dr, Raleigh, NC 27604-3659 | 2015-03-02 |
| 1689917874 | Christina P May | Mastectomy Fitter | 3224 Lake Woodard Dr, Raleigh, NC 27604-3659 | 2013-04-05 |
| 1053689042 | Catherine J Adkins | Prosthetist | 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659 | 2011-12-06 |
| 1831478247 | Brian M Gold | Orthotist | 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659 | 2011-08-16 |
| 1033267877 | Brian Prout | Orthotist | 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659 | 2007-01-08 |
| 1316095177 | Terry Ether | Orthotist | 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669748 | Monet Josey | Counselor | 3020 Highwood Blvd, Raleigh, NC 27604 | 2020-04-27 |
| 1154979094 | Ride4health Transportation Inc | Non-emergency Medical Transport (VAN) | 3200 Capital Blvd, Raleigh, NC 27604 | 2019-09-03 |
| 1851890750 | Sasilana Letreva Burden | In Home Supportive Care | 4000 Northstone Drive Apt 307, Raleigh, NC 27604 | 2018-02-06 |
| 1093226383 | The Eye Institute Od, Pa | Optometrist | 111 Seaboard Ave Ste 110, Raleigh, NC 27604 | 2017-10-13 |
| 1902326044 | Ngozi Ifeoma Osiebo | Nurse Practitioner | 4608 Wedgewood Drive, Raleigh, NC 27604 | 2017-06-20 |
| 1144765520 | Rose Hill Family Care Home | Custodial Care Facility | 1705 Beacon Bluff Street, Raleigh, NC 27604 | 2016-12-21 |
| 1437609948 | Mercy Manor At Saybrooke, Inc | Custodial Care Facility | 6320 Saybrooke Drive, Raleigh, NC 27604 | 2016-10-07 |
| 1972969913 | Shivas Gilotra | Nurse Practitioner | 805 Oberlin Road, Ste 200, Raleigh, NC 27604 | 2016-01-06 |
| 1609247915 | Charisse Justine Young | Social Worker | 2609 Atlantic Avenue, Suite 111c, Raleigh, NC 27604 | 2015-10-13 |
| 1356748933 | John T Hart | Counselor | 1115-113 Cove Bridge Road, Raleigh, NC 27604 | 2014-11-26 |
| Find all providers in zip 27604 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134764459 | Zachary Roggow | Prosthetist | 3400 Executive Dr Ste 102, Raleigh, NC 27609-7476 | 2019-11-11 |
| 1588299788 | Mark R Talley | Prosthetist | 3224 Lake Woodard Dr Ste 100, Raleigh, NC 27604-3659 | 2020-03-08 |
| 1144712654 | Mary Heaton | Prosthetist | 3031 New Bern Ave Ste 102, Raleigh, NC 27610-2989 | 2018-05-31 |
| 1508276775 | Shawn A Kirk | Prosthetist | 2231 E Millbrook Rd, 101, Raleigh, NC 27604-1746 | 2014-04-28 |
| 1053689042 | Catherine J Adkins | Prosthetist | 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659 | 2011-12-06 |
| 1700906922 | Joseph Lizotte | Prosthetist | 3320 Wake Forest Rd Ste 450, Raleigh, NC 27609 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782857 | Ashley Brooks | Prosthetist | 2232 Page Rd Ste 104, Durham, NC 27703-7724 | 2020-08-27 |
| 1689282865 | Marquetta L Thomas | Prosthetist | 2203 Southern Ave, Fayetteville, NC 28306-2257 | 2020-07-14 |
| 1053943381 | Ashley K Sorrell | Prosthetist | 24 Wood Lake Dr, Fuquay Varina, NC 27526-4936 | 2020-02-05 |
| 1356990022 | Porshai Juanice Jackson | Prosthetist | 6341 Derryfield Dr, Charlotte, NC 28213-5532 | 2019-09-05 |
| 1164079117 | Sherronda Yancey | Prosthetist | 513 Yadkin St, Henderson, NC 27536-3524 | 2019-08-23 |
| 1962058909 | Tishma Mcgarrell | Prosthetist | 102 N B Street, Bridgeton, NC 28519-2851 | 2019-08-15 |
| 1306400759 | Pure Gold Luxz Hair Beauty Luxury | Prosthetist | 508 Owen Dr, Fayetteville, NC 28304-3417 | 2019-04-30 |
| 1437712601 | Anitra Nash Phifer | Prosthetist | 2483 E Ozark Ave, Gastonia, NC 28054-1421 | 2019-04-15 |
| 1881257046 | Sonja Allen | Prosthetist | 3509 David Cox Rd, Charlotte, NC 28269-2281 | 2019-04-15 |
| 1346803509 | Felicia Nicole Long | Prosthetist | 221 E Exmore St Ste D, Charlotte, NC 28217-1808 | 2019-04-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.