ALLISON MARIE WHITE (RD) – Registered Dietitian, NPI 1437797917

ALLISON MARIE WHITE (RD) is a healthcare provider. based in Shakopee, Minnesota. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD. The NPI Number for ALLISON MARIE WHITE (RD) is 1437797917

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ALLISON MARIE WHITE (RD)
NPI
1437797917
Phone
Not provided
Address
925 ALYSHEBA RD APT 216
Enumeration Date
16 December 2019
Last Update Date
16 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529933123
Graduation Year
2012 (14 years ago)
PAC ID
4284063983
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20200401000231
Address ID
MN554265000ST3931XSXXX400
Telehealth
Yes

Contacts

Other Endpoint
ParkNicolletClinic
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness85
Years active:6State licenses:0Other namesUpdated within 12 months

277 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in MN

Provider Addresses for ALLISON MARIE WHITE (RD)

  • 925 ALYSHEBA RD APT 216

    SHAKOPEE, MN 553794914

    Phone:

    Type: Mailing

  • 3931 LOUISIANA AVE S

    ST LOUIS PARK, MN 554265000

    Phone: (248) 496-1667

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-04-01

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
I20200401000231IRegistered Dietitian Or Nutrition ProfessionalMNTBD

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 55379)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What federal number belongs to ALLISON MARIE WHITE (RD)?
The federal identifier for ALLISON MARIE WHITE (RD) is NPI 1437797917.
Is ALLISON MARIE WHITE (RD)'s NPI currently valid?
The extract we use shows ALLISON MARIE WHITE (RD) as active.
What field does ALLISON MARIE WHITE (RD) work in?
You can think of ALLISON MARIE WHITE (RD) as practicing within Registered Dietitian. Clinical services aligned with this taxonomy classification.
Where does public data place ALLISON MARIE WHITE (RD)?
The snapshot lists Shakopee, Minnesota for ALLISON MARIE WHITE (RD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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