Look up the most recent NPI and PECOS records

Celeste Magen White

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

8019 Dixie Hwy Ste 101, Louisville, KY 40258-1303

PECOS Enrollment

This provider is enrolled in PECOS as CELESTE WHITE.

Based on the most recent information from CMS, provider Celeste Magen White is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1770256703
Provider Type
Individual
Full Name
White, Celeste Magen
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
7/27/2021
Last Updated
7/29/2025

Contact Information

Practice Location

8019 Dixie Hwy Ste 101, Louisville, KY 40258-1303

(502) 333-3121

(502) 531-9538

Mailing Location

8019 Dixie Hwy Ste 101, Louisville, KY 40258-1303

(502) 333-3121

(502) 531-9538

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 1114886 Kentucky
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 3016129 Kentucky

Provider Identifiers

ID	Description	Issuer
ID 3016129	Description Other	Issuer STATE LICENSE Kentucky

Celeste Magen White

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Coleman, Lindsay Nicole

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