LAURA WHITE PA NPI 1083626436

NPI Information

  • NPI: 1083626436
  • Provider Name: LAURA WHITE, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2001 CRYSTAL SPRING AVE SW STE 201
    ROANOKE, VA
    ZIP 24014
  • Phone: (540) 853-0100

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NPI Details

Laura White, PA is a medical physician assistant in Roanoke, VA with 22 years of experience. Laura White, PA NPI is 1083626436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2001 CRYSTAL SPRING AVE SW STE 201
ROANOKE, VA
ZIP 24014-465
Phone: (540) 853-0100
Fax: (540) 342-9308

The NPI 1083626436 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Coronary artery bypass graft (CABG) (HCPCS:NAN07)

The enumeration date for this NPI number is 8/13/2006 and was last updated on 8/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA9103032FLORIDANo
2363AM0700XPhysician AssistantMedical0110002613VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11083626436MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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