Physician Compare National (NPI:1881000198)

HEALTHCARE PROVIDER: SHEENA KAY WHITE FNP-BC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1881000198
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8022237494
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140917000623
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WHITE
	Individual professional last name
Provider First Name	SHEENA
	Individual professional first name
Provider Middle Name	K
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SPURLING AND WHITE LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2365788213
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	100 W 17TH ST D
	Group Practice or individual's line 1 address
Line 2 Street Address	GROVE FAMILY CARE
	Group Practice or individual's line 2 address
City	MOUNTAIN GROVE
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	657111060
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4173494100
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	260024
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TEXAS COUNTY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	260040
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	COX MEDICAL CENTERS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	260078
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	OZARKS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y