MR. DOUGLAS WHITE BSN RN NPI 1912612649

NPI Information

  • NPI: 1912612649
  • Provider Name: MR. DOUGLAS WHITE, BSN, RN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 701 E COUNTY LINE RD STE 204
    GREENWOOD, IN
    ZIP 46143
  • Phone: (317) 882-0535

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NPI Details

MR. Douglas White, BSN, RN is a family nurse practitioner in Greenwood, IN with 3 years of experience. MR. Douglas White, BSN, RN NPI is 1912612649. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

701 E COUNTY LINE RD STE 204
GREENWOOD, IN
ZIP 46143-071
Phone: (317) 882-0535
Fax: (317) 882-0173

The NPI 1912612649 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 enumeration date for this NPI number is 1/17/2023 and was last updated on 11/13/2023.

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
1163WG0000XRegistered NurseGeneral Practice28199038AINDIANANo
2363LF0000XNurse PractitionerFamily71014380AINDIANAYes

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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