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Individual Healthcare Provider

Nicole Katherine White, RD, CSSD, LDN

NPI Record: ActiveDietitian, Registered — Nutrition, Sports Dietetics
NPI1104230192
Hurlburt Field, Florida

Provider's NPPES record last updated: June 10, 2022

Overview

Entity Type
Individual Healthcare Provider
NPI
1104230192
Primary Specialty
Dietitian, Registered — Nutrition, Sports Dietetics
Practice Location
Hurlburt Field, Florida
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 9:55 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dietitian, Registered

    Nutrition, Sports Dietetics

    Dietary & Nutritional Service Providers

    Primary

    An individual who is a Board Certified Specialist in Sports Dietetics and applies evidence-based nutrition knowledge in exercise and sports. RDNs specializing in sports dietetics assess, educate, and counsel athletes and active individuals. They design, implement, and manage safe and effective nutrition strategies that enhance lifelong health, fitness, and optimal performance.

    Taxonomy code 133VN1501X
  • Dietitian, Registered

    Dietary & Nutritional Service Providers

    A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

    Taxonomy code 133V00000X

Provider-Reported License Information

Dietitian, Registered (Iowa)
084432
Dietitian, Registered (Illinois)
164006212
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

100 Servais Way

Rm 210

Hurlburt Field, Florida 32544

Phone: (850) 884-4661

Additional Practice Location

2004 98 Palms Blvd Unit 4312

Destin, Florida 32541-2778

Phone: (901) 485-4939

Record Information

Enumeration Date
June 17, 2014
Provider's NPPES Record Last Updated
June 10, 2022
Certification Date
June 6, 2022
NPISignal NPPES Dataset
August 2026

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