KELLY SU WHITE RN
NPI 1154802932
Registered Nurse in Tacoma, WA

Q: What is Kelly White's NPI number?

The NPI number for Kelly White is 1154802932. It was assigned to this individual provider in the NPPES registry on August 28, 2018.

Q: What is Kelly White's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly White was last updated on August 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 28, 2018

9040 JACKSON AVE ATTN: MCHJ-CLQ-C, TACOMA, WA 98431(253) 968-1110 Get Directions Write a Review

NPPES record last updated: August 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelly Su White Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY SU WHITE RN (NPI 1154802932) is an individual registered nurse in Tacoma, Washington, licensed in Washington (60762936) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1154802932

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameKELLY SU WHITECredential: RN

Location Address9040 JACKSON AVE ATTN: MCHJ-CLQ-CTacoma, WA 98431

Mailing Address9040 Jackson Ave Attn: Mchj-clq-cTacoma, WA 98431-1100

Phone(253) 968-1110

Sole ProprietorNo

Enumeration DateAugust 28, 2018

✔ NPI 1154802932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in WA · 60762936

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

9040 JACKSON AVE ATTN: MCHJ-CLQ-C, Tacoma, WA 98431

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. FRANCESCA S FANENE LPN

Licensed Practical Nurse