LAVERTTA K WHITE (APRN, FNP-BC) – Family Nurse Practitioner, NPI 1174907679

LAVERTTA K WHITE (APRN, FNP-BC) is a healthcare provider. based in Naples, Florida. specializing in Family Nurse Practitioner. They hold the professional credentials APRN, FNP-BC. They hold a License No. 0024189886 (VA). The NPI Number for LAVERTTA K WHITE (APRN, FNP-BC) is 1174907679

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
LAVERTTA K WHITE (APRN, FNP-BC)
NPI
1174907679
Phone
(239) 348-4221
Address
4525 THOMASSON DR STE 104
Enumeration Date
14 July 2015
Last Update Date
9 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2393484221
Graduation Year
2015 (11 years ago)
PAC ID
9133424302
Group Practice PAC ID
2769495167
Professional Enrollment ID
I20191105001612

Contacts

Secure Messaging
lavertta.miller.1@4692.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:10State licenses:4Other namesUpdated within 12 months

Provider Addresses for LAVERTTA K WHITE (APRN, FNP-BC)

  • 4525 THOMASSON DR STE 104

    NAPLES, FL 341126963

    Phone: (239) 348-4221

    Type: Mailing

  • 2430 VANDERBILT BEACH RD STE 108-573

    NAPLES, FL 341092654

    Phone: (239) 348-4221

    Type: Mailing

  • 60 GREERS FERRY RD

    DRASCO, AR 725309130

    Phone: (870) 668-3200

    Fax: (870) 668-3634

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $537.

Total Amount is formed as General ($537) + Research ($0) + Ownership ($0) = $537.

Last reported payment date: 2024-05-07 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($215).

Total Amount

$537

General + Research + Ownership

Payments

19

Total payment records

General Amount

$537

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-07

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-11-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191105001612INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34112)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769495167View full group profile
NameSpecialtyState
General SurgeryFL
Internal MedicineCT
Internal Medicine, Cardiovascular Disease (Cardiology)FL
Interventional Cardiology, Cardiovascular Disease (Cardiology)NY
General SurgeryME
Vascular SurgeryFL
Physician AssistantFL
Cardiovascular Disease (Cardiology), Internal MedicineFL
Nurse PractitionerFL
Neurology, Neuropsychiatry, PsychiatryFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for LAVERTTA K WHITE (APRN, FNP-BC)?
LAVERTTA K WHITE (APRN, FNP-BC) — NPI 1174907679 — is the standard way to identify this listing.
Does CMS list LAVERTTA K WHITE (APRN, FNP-BC) as active?
Yes — LAVERTTA K WHITE (APRN, FNP-BC) is active in the NPI listing used on this page.
What is LAVERTTA K WHITE (APRN, FNP-BC)'s primary classification?
Family Nurse Practitioner is the headline specialty for LAVERTTA K WHITE (APRN, FNP-BC) here. Clinical services aligned with this taxonomy classification.
Where is LAVERTTA K WHITE (APRN, FNP-BC) based?
LAVERTTA K WHITE (APRN, FNP-BC) is tied to Naples, Florida in the data we show; additional addresses may exist on the full record.
Is the information about LAVERTTA K WHITE (APRN, FNP-BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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