NICOLE KATHERINE WHITE (RD, CSSD, LDN) – Sports Dietetics Nutrition Registered Dietitian, NPI 1104230192

NICOLE KATHERINE WHITE (RD, CSSD, LDN) is a healthcare provider. based in Destin, Florida. specializing in Sports Dietetics Nutrition Registered Dietitian. They hold the professional credentials RD, CSSD, LDN. They hold a License No. 164006212 (IL). The NPI Number for NICOLE KATHERINE WHITE (RD, CSSD, LDN) is 1104230192

Main info

Female
Sole Proprietor
Name
NICOLE KATHERINE WHITE (RD, CSSD, LDN)
NPI
1104230192
Phone
(901) 485-4939
Address
2004 98 Palms Blvd Unit 4312
Enumeration Date
17 June 2014
Last Update Date
10 June 2022

Contacts

Main Contact
eat2competerd@gmail.com
Other Endpoint
Nicole.white.ctr.14@us.af.mil
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:11State licenses:2Other namesUpdated within 12 months

Provider Addresses for NICOLE KATHERINE WHITE (RD, CSSD, LDN)

  • 2004 98 Palms Blvd Unit 4312

    Destin, FL 325412778

    Phone: (901) 485-4939

    Type: Location

  • 175 E HAWTHORN PKWY

    VERNON HILLS, IL 600611463

    Phone: (847) 868-3435

    Type: Mailing

  • 1222 N EOLA RD

    AURORA, IL 605029409

    Phone: (847) 868-3435

    Type: Location

  • 2004 98 PALMS BLVD UNIT 4312

    DESTIN, FL 325412778

    Phone: (901) 485-4939

    Type: Mailing

  • 100 SERVAIS WAY

    RM 210

    HURLBURT FIELD, FL 32544

    Phone: (850) 884-4661

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 32541)

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Frequently asked questions

What is the 10-digit NPI for NICOLE KATHERINE WHITE (RD, CSSD, LDN)?
NICOLE KATHERINE WHITE (RD, CSSD, LDN) — NPI 1104230192 — is the standard way to identify this listing.
Can I rely on NICOLE KATHERINE WHITE (RD, CSSD, LDN) being an active provider?
As of the registry snapshot, NICOLE KATHERINE WHITE (RD, CSSD, LDN) is marked active.
What is NICOLE KATHERINE WHITE (RD, CSSD, LDN)'s primary classification?
Sports Dietetics Nutrition Registered Dietitian is the headline specialty for NICOLE KATHERINE WHITE (RD, CSSD, LDN) here. Clinical services aligned with this taxonomy classification.
Does NICOLE KATHERINE WHITE (RD, CSSD, LDN) list a practice location?
Patients near Destin, Florida may find NICOLE KATHERINE WHITE (RD, CSSD, LDN) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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