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Deactivated NPI 1982955019 Deactivated / Inactive NPI Female Practitioner

Lisa White

Rehabilitation Practitioner • Fallon, NV

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lisa White has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 28, 2012
NPI Deactivation Date August 07, 2025
Total Practice Duration ~13 Years of Practice (2012 – 2025)

Professional Overview & Biography Verified Profile Summary

Lisa White was a registered Rehabilitation Practitioner practicing in Fallon, NV. Throughout an active medical career spanning 13 years, Lisa White provided care at the practice location at 1490 GRIMES ST until profile deactivation on 2025-08-07.

Practice Location & Contact Primary Location

Practice Address

1490 Grimes St

Fallon, NV 894063103

Telephone 7754231412
Fax 7754234054
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Rehabilitation Practitioner in Fallon, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.9 Yrs
Regional Practice Density
15 Specialists

Practicing in Fallon, NV (5588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Rehabilitation Practitioner Primary Specialty

NUCC Taxonomy Code: 225400000X

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Keturah Tackett

Counselor - Addiction (Substance Use Disorder)

NPI 1003158346
Kathy Melendy

Counselor - Addiction (Substance Use Disorder)

NPI 1013302629
Janera Tucker

Counselor - Addiction (Substance Use Disorder)

NPI 1043561178
Isaac Mardis

Rehabilitation Practitioner

NPI 1043651912
Michelle Mcknight

Rehabilitation Practitioner

NPI 1083054381
Dorothy Mitchell

Rehabilitation Practitioner

NPI 1083965198

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 07, 2025

Record deactivated on August 07, 2025

NPI Profile Active September 28, 2012

NPI status registered as active in NPPES database

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Updated Practice Location September 28, 2012

Registered at 1490 GRIMES ST, FALLON, NV 894063103 (Tel: 7754231412)

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Updated Business Mailing Address September 28, 2012

Registered at PO BOX 1240, FALLON, NV 894071240 (Tel: 7754231412)

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Provider Name / Credentials Updated September 28, 2012

Recorded as LISA WHITE

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2012

Rehabilitation Practitioner

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Initial NPI Registration & Enumeration September 28, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982955019
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2012
Last Update: September 28, 2012
Deactivation Date: August 07, 2025

Mailing Address

Po Box 1240

Fallon, NV 894071240

Phone: 7754231412

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.