DR. CHANTELLE THANDEKA WHITE MD
NPI 1639863285
Student in an Organized Health Care Education/Training Program in Hollywood, FL

Active since June 06, 2023PECOS Enrolled
1005 JOE DIMAGGIO DR, HOLLYWOOD, FL 33021(954) 265-5324 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Chantelle Thandeka White Md NPPES

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

DR. CHANTELLE THANDEKA WHITE MD (NPI 1639863285) is an individual student in an organized health care education/training program in Hollywood, Florida and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639863285
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. CHANTELLE THANDEKA WHITECredential: MD
Location Address1005 JOE DIMAGGIO DRHollywood, FL 33021-5487
Mailing Address10366 E Clairmont CirTamarac, FL 33321-7835 · (954) 347-3900
Sole ProprietorNo
Enumeration DateJune 6, 2023
NPPES CertifiedJune 6, 2023
NPI 1639863285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

1005 JOE DIMAGGIO DR, Hollywood, FL 33021

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Chantelle Thandeka White Md 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.

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.

Student in an Organized Health Care Education/Training Program
1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
Social Worker (Clinical)
1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
Social Worker (Clinical)
1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
Social Worker (Clinical)
1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
Social Worker (Clinical)
1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
Social Worker (Clinical)
1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
Social Worker (Clinical)
1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
Nurse Practitioner (Neonatal, Critical Care)
1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639863285, enumerated as an "individual" on June 06, 2023.

The provider is located at 1005 JOE DIMAGGIO DR HOLLYWOOD, FL 33021 and the phone number is (954) 265-5324.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.