Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ida V White, PA

Individual provider Medical Physician Assistant · NPI 1154882538

Ida V White, PA is a Medical Physician Assistant in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2019.

Licensed in
RI
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

164 Summit Ave
Providence, RI 02906
Phone: (401) 793-4102
Fax: (401) 793-4049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA01458 (RI)

Record details

NPI number1154882538
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 27, 2019
Last updated in NPPESJune 21, 2022
Certification dateJune 21, 2022

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