ANNALEA WHITE
NPI 1861286312
Student in an Organized Health Care Education/Training Program in Pueblo, CO

Active since April 08, 2025PECOS Enrolled
902 LAKEVIEW AVE, PUEBLO, CO 81004(719) 557-5855(719) 557-5097 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Annalea White NPPES

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

ANNALEA WHITE (NPI 1861286312) is an individual student in an organized health care education/training program in Pueblo, Colorado and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861286312
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANNALEA WHITE
Location Address902 LAKEVIEW AVEPueblo, CO 81004-3597
Mailing Address170 E 350 NIvins, UT 84738-6107 · (435) 272-7295
Fax(719) 557-5097
Sole ProprietorNo
Enumeration DateApril 8, 2025
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
NPI 1861286312 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.

902 LAKEVIEW AVE, Pueblo, CO 81004

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Annalea White 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.

Family Medicine
902 LAKEVIEW AVE
PUEBLO, CO 81004
Physician Assistant
902 LAKEVIEW AVE
PUEBLO, CO 81004
Social Worker (Clinical)
902 LAKEVIEW AVE
PUEBLO, CO 81004
General Practice
902 LAKEVIEW AVE
PUEBLO, CO 81004
Clinic/Center (Primary Care)
902 LAKEVIEW AVE
PUEBLO, CO 81004
Physician Assistant
902 LAKEVIEW AVE
PUEBLO, CO 81004
Family Medicine
902 LAKEVIEW AVE, SOUTHERN COLORADO FAMILY MEDICINE
PUEBLO, CO 81004
Family Medicine
902 LAKEVIEW AVE
PUEBLO, CO 81004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861286312, enumerated as an "individual" on April 08, 2025.

The provider is located at 902 LAKEVIEW AVE PUEBLO, CO 81004 and the phone number is (719) 557-5855.

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