KENNETH WHITE (NPI# 1215329636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215329636 |
| Entity Type | Individual |
| Full Name | KENNETH WHITE |
| Practice Address |
11937 Chester Creek Rd Jacksonville FL 32218-3314 |
| Practice Telephone | 9043824388 |
| Mailing Telephone | 9043824388 |
| Enumeration Date | 2015-02-22 |
| Last Update Date | 2015-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558683847 | Kenneth Julius White | Pharmacist | 4269 Roswell Rd, Marietta, GA 30062-6488 | 2010-02-27 |
| 1316199268 | Kenneth Francis White | Dentist | 6273 Annapurna Dr, Evergreen, CO 80439-5332 | 2008-10-22 |
| 1003976358 | Kenneth L White | Optometrist | 2316 83rd St Nw, Gig Harbor, WA 98332-7545 | 2006-12-09 |
| 1609877836 | Kenneth Samuel White | Surgery | 1404 Commonwealth Dr, Wilmington, NC 28403-1473 | 2005-08-10 |
| 1912520057 | Kenneth Wayne White Jr. | Dentist | 8525 Pit Stop Ct Nw Ste A, Concord, NC 28027-8338 | 2020-05-23 |
| 1992297048 | Kenneth White | Physical Therapist | 25900 Greenfield Rd, Oak Park, MI 48237-1292 | 2018-06-05 |
| 1073909040 | Kenneth Ray White | Nurse Practitioner | 1240 Lee St, Charlottesville, VA 22908-0001 | 2015-04-07 |
| 1801133657 | Kenneth Ray White | Social Worker | 512 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-1943 | 2013-01-14 |
| 1144599812 | Kenneth E White | Psychiatry & Neurology | 24 Chestnut St, Vinalhaven, ME 04863-0823 | 2011-12-23 |
| 1063795110 | Kenneth H White | Counselor | 1225 W Mitchell St, #223, Milwaukee, WI 53204-3383 | 2011-09-26 |
| Street Address |
11937 CHESTER CREEK RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
| 1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
| 1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
| 1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
| 1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
| Find all providers in zip 32218 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256014 | Jessica Marie Hazelip | Case Manager/Care Coordinator | 2126 N 1st St, Jacksonville, AR 72076-2870 | 2020-08-24 |
| 1235757493 | Terena D Hoover | Case Manager/Care Coordinator | 731 Duval Station Rd Ste 107-257, Jacksonville, FL 32218-0800 | 2020-07-13 |
| 1255955514 | Shan Lowry | Case Manager/Care Coordinator | 1007 Tortoise Way, Jacksonville, FL 32218-7635 | 2020-06-02 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1780228510 | Equeisha Jones | Case Manager/Care Coordinator | 1006 N Liberty St, Jacksonville, FL 32206-5631 | 2019-11-05 |
| 1447801865 | Sydney Broussard | Case Manager/Care Coordinator | 3544 Saint Johns Bluff Rd S Apt 922, Jacksonville, FL 32224-2674 | 2019-09-26 |
| 1558928291 | Sherri Mason | Case Manager/Care Coordinator | 8005 Renault Dr, Jacksonville, FL 32244-1325 | 2019-05-28 |
| 1760951438 | Tashera Muray Nielsen | Case Manager/Care Coordinator | 7925 Merrill Rd Apt 2809, Jacksonville, FL 32277-6544 | 2018-11-24 |
| 1588147110 | Patricia Ceasar Pitts | Case Manager/Care Coordinator | 13764 Chipperfield Ln, Jacksonville, FL 32226-5832 | 2018-09-10 |
| 1447738307 | Pamela R Wright | Case Manager/Care Coordinator | 10955 Sterling Silver Ct, Jacksonville, FL 32218-7342 | 2018-08-02 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32218 |
Please comment or provide details below to improve the information on KENNETH 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.