MRS. AVA M WHITE (NPI# 1366472870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366472870 |
Entity Type | Individual |
Full Name | MRS. AVA M WHITE |
Other Name | MRS. AVA M BALKO |
Credential | FNP C |
Practice Address |
809 South Long Drive Suite G Rockingham NC 28379-4375 |
Mailing Address |
P.o. Box 828 Hamlet NC 28345-0828 |
Practice Telephone | 9109973733 |
Practice Fax Number | 9109973707 |
Mailing Telephone | 9109973733 |
Mailing Fax Number | 9109973707 |
Enumeration Date | 2006-07-03 |
Last Update Date | 2012-11-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
200319 | NC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DEA | MW0119506 | 01 | |
NC | 7000107 | 05 | |
NC | LICENSE | 200319 | 01 |
Street Address |
809 SOUTH LONG DRIVE SUITE G |
City | ROCKINGHAM |
State | NC |
Zip Code | 28379-4375 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992938823 | Carolina Spine Center Pa | Physical Medicine & Rehabilitation | 809 South Long Drive, Suite G, Rockingham, NC 28379-4375 | 2009-08-26 |
1043221328 | Paul Gulsharan Singh | Physical Medicine & Rehabilitation | 809 South Long Drive, Suite G, Rockingham, NC 28379-4375 | 2006-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134728157 | Yonathan Nigatu Dds Pllc | Dentist | 1355 E Broad Ave., Rockingham, NC 28379 | 2020-10-21 |
1780202788 | Rosemond Salia | Pharmacy | 720 E Highway 74 Business, Rockingham, NC 28379 | 2020-07-07 |
1790311835 | Daymark Recovery Services Inc | Community/Behavioral Health | 523 N Us Hwy 1, Suite B, Rockingham, NC 28379 | 2020-03-20 |
1639646318 | Lakir Patel | Pharmacist | 720 E Highway Business 74, Rockingham, NC 28379 | 2018-10-31 |
1205368180 | Karen Mclaurin | Early Intervention Provider Agency | 138 Ivy Trail, Rockingham, NC 28379 | 2017-03-30 |
1134574130 | Laura Mcrae Harris | Counselor | 2202 Fayetteville Road, Rockingham, NC 28379 | 2016-04-27 |
1275904542 | Marsha A Murphy | Counselor | 325 South Long Drive, Rockingham, NC 28379 | 2015-10-13 |
1659741361 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1262 East Broad Avenue, Rockingham, NC 28379 | 2015-10-07 |
1841683448 | Tawanda L Bennett | Counselor | 2202 Fayetteville Rd., Rockingham, NC 28379 | 2015-03-06 |
1841682846 | Patricia Ann Flowers | Counselor | 119 Rockinham Rd, Rockingham, NC 28379 | 2015-02-27 |
Find all providers in zip 28379 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891311213 | Jae Ryoung Anaza | Nurse Practitioner | 3191 Charleston Blvd, Rockingham, VA 22801-3588 | 2020-06-22 |
1639135924 | Tammie Gainey | Nurse Practitioner | 523 Rockingham Rd, Rockingham, NC 28379 | 2006-04-25 |
1386268266 | Susan Y Mcdonald | Nurse Practitioner | 523 Rockingham Rd, Rockingham, NC 28379-3615 | 2020-06-05 |
1508401647 | Brooke Armstrong Runion | Nurse Practitioner | 2010 Health Campus Dr, Rockingham, VA 22801-8679 | 2019-11-13 |
1992299903 | Rachel Mills Wilson | Nurse Practitioner | 1046 Tulip Ter, Rockingham, VA 22801-5324 | 2018-06-22 |
1619320744 | Whitney Eberly | Nurse Practitioner | 1885 Port Republic Rd, Rockingham, VA 22801-3533 | 2016-07-13 |
1225375520 | Crystal K Blosser | Nurse Practitioner | 2006 Health Campus Dr, Medical Office Building, 3rd Floor, Rockingham, VA 22801-8679 | 2013-01-08 |
1831449826 | Michele Main Durland | Nurse Practitioner | 2010 Health Campus Dr, Rockingham, VA 22801-8679 | 2012-09-17 |
1487809653 | Trudy Marcelle Colaw | Nurse Practitioner | 2010 Health Campus Dr, Rockingham, VA 22801-8679 | 2008-12-01 |
1679604813 | Charlotte Clark Mcneill | Nurse Practitioner | 711 S Long Dr, Rockingham, NC 28379-4315 | 2007-03-08 |
Find all providers in ROCKINGHAM |
City | ROCKINGHAM |
Zip Code | 28379 |
Please comment or provide details below to improve the information on MRS. AVA M WHITE.
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.