Healthcare Provider Details

I. General information

NPI: 1801733324
Provider Name (Legal Business Name): CASEY ERIN WHITE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16923 JOANNE DR
OMAHA NE
68136-4146
US

IV. Provider business mailing address

2767 FLINTRIDGE CIR
COLORADO SPRINGS CO
80918-4341
US

V. Phone/Fax

Practice location:
  • Phone: 719-347-5338
  • Fax:
Mailing address:
  • Phone: 719-347-5338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: