Individual provider

Nicole White, RD, CSSD, LDN

Sports Dietetics Nutrition Registered Dietitian Registered Dietitian

Nicole White, RD, CSSD, LDN is a Sports Dietetics Nutrition Registered Dietitian in Hurlburt Field, FL, registered under NPI 1104230192. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 100 SERVAIS WAY RM 210, Hurlburt Field, FL 32544. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

100 SERVAIS WAY RM 210, Hurlburt Field, FL 32544 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
084432 IA Sports Dietetics Nutrition Registered… primary
164006212 IL Registered Dietitian

Licences are recorded in 2 states: IA, IL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: Iowa and Illinois. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

IA Iowa
Licence
084432
Specialty
Sports Dietetics Nutrition Registered…
Verify with the IA board →
IL Illinois
Licence
164006212
Specialty
Registered Dietitian
Verify with the IL board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Nutrition, Sports Dietetics covers

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. NUCC Health Care Provider Taxonomy, code 133VN1501X
Dietary & Nutritional Service Providers Dietitian, Registered Nutrition, Sports Dietetics

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
133VN1501X Sports Dietetics Nutrition Registered Dietitian Nutrition, Sports Dietetics 084432 IA primary
133V00000X Registered Dietitian 164006212 IL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104230192 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 17, 2014
Last updatedJun 10, 2022
StatusActive
Sole proprietorYes
CredentialRD, CSSD, LDN
Practice address 100 SERVAIS WAY
RM 210
Hurlburt Field, FL 32544
(850) 884-4661
Mailing address 2004 98 PALMS BLVD UNIT 4312
Destin, FL 32541
The last update on file is Jun 10, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1104230192 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 2 3 0 1 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 4 3 0 1 9

Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104230192?
NPI 1104230192 is the National Provider Identifier assigned to Nicole White, RD, CSSD, LDN in Hurlburt Field, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Nutrition, Sports Dietetics cover?
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…
How do I contact Nicole White, RD, CSSD, LDN?
The phone number on file with NPPES is (850) 884-4661, last updated Jun 10, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104230192 a valid number?
Yes. 1104230192 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.