Provider Demographics
NPI:1912885443
Name:WHITE, ROBBILYNN
Entity type:Individual
Prefix:
First Name:ROBBILYNN
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROBBILYNN
Other - Middle Name:
Other - Last Name:GAINES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:12056 WESTOVER RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-3001
Mailing Address - Country:US
Mailing Address - Phone:402-594-8846
Mailing Address - Fax:
Practice Address - Street 1:12056 WESTOVER RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-3001
Practice Address - Country:US
Practice Address - Phone:402-594-8846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide