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NOAH LYONS WHITED
NPI 1457000135
Student in an Organized Health Care Education/Training Program in Keller, TX

Active since March 21, 2022PECOS Enrolled
788 WINDEMERE WAY, KELLER, TX 76248(817) 629-6964 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Noah Lyons Whited NPPES

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

NOAH LYONS WHITED (NPI 1457000135) is an individual student in an organized health care education/training program in Keller, Texas and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457000135
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNOAH LYONS WHITED
Location Address788 WINDEMERE WAYKeller, TX 76248-5210
Mailing Address788 Windemere WayKeller, TX 76248-5210 · (817) 629-6964
Phone(817) 629-6964
Sole ProprietorNo
Enumeration DateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1457000135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
788 WINDEMERE WAY, Keller, TX 76248
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noah Lyons Whited is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Noah Whited's NPI number?

The NPI number for Noah Whited is 1457000135. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Noah Whited located?

Noah Whited practices at 788 Windemere Way, Keller, TX 76248. The listed phone number is (817) 629-6964.

What is Noah Whited's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Noah Whited enrolled in Medicare?

Yes. Noah Whited is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Noah Whited was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.