TINA WHITE (NPI# 1851333819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851333819 |
| Entity Type | Individual |
| Full Name | TINA WHITE |
| Credential | FNP |
| Practice Address |
1419 S Folkers Ave Peoria IL 61605-1356 |
| Mailing Address |
5100 Reliable Parkway Chicago IL 60686-0001 |
| Practice Telephone | 3096767803 |
| Mailing Telephone | 3096767803 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316272214 | Tina Marie White | Occupational Therapy Assistant | 1345 North Madison Ave, Anderson, IN 46011-1215 | 2009-10-09 |
| 1861515967 | Tina M White | Counselor | 6825 Trouble Creek Rd, New Port Richey, FL 34653-5560 | 2007-04-06 |
| 1033696208 | Tina White | Chore Provider | 5135 Camino Al Norte Ste 150, North Las Vegas, NV 89031-2388 | 2018-07-20 |
| 1174025548 | Tina White | Occupational Therapist | 3601 W 13 Mile Rd Dept Of, Royal Oak, MI 48073-6712 | 2018-03-01 |
| 1376913277 | Tina E White | Occupational Therapy Assistant | 339 E Maple St, North Canton, OH 44720-2593 | 2015-10-05 |
| 1912325960 | Tina White | Social Worker | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2014-04-06 |
| 1306197876 | Tina White | Home Health Aide | 100 Washington St, Florissant, MO 63031-5921 | 2012-09-25 |
| 1588980098 | Tina Marie White | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2010-04-09 |
| 1982930715 | Tina M White | Rehabilitation Practitioner | 41 Maple St, New Gloucester, ME 04260-4428 | 2009-10-29 |
| 1518181890 | Tina White | Nurse's Aide | One Indian Hill Road, Winterhaven, CA 92283 | 2007-04-11 |
| Street Address |
1419 S FOLKERS AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61605-1356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578197877 | Chestnut Health Systems Inc | Clinic/Center | 1419 S Folkers Ave, Peoria, IL 61605-1391 | 2020-02-25 |
| 1447537881 | Methodist Medical Center of Illinois | Nurse Practitioner | 1419 S Folkers Ave, Peoria, IL 61605 | 2011-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386131878 | Nicholas Anthony Helling | Physical Therapist | 518 W Romero B Garret Ave, Poeria, IL 61605 | 2018-04-19 |
| 1891241022 | Peoria Slf Lp | Assisted Living Facility | 518 West Romeo B. Garrett Avenue, Peoria, IL 61605 | 2016-08-28 |
| 1932479664 | Michelle L Whitelow | Nurse Practitioner | 711 W John Gwynn Jr. Avenue, Peoria, IL 61605 | 2012-01-11 |
| 1982852877 | Jason M Anane-sefah | Orthopaedic Surgery | 303 North Kumpf Boulevard, Peoria, IL 61605 | 2008-09-04 |
| 1902098908 | Calvary Elderly Home Help Program | Home Health | 1709 W Lincoln Ave, Peoria, IL 61605 | 2007-08-14 |
| 1023104437 | Thomas Anderson | Optometrist | 710 W Third Avenue, Peoria, IL 61605 | 2006-10-04 |
| 1841382298 | Devashish Agarwal | Family Medicine | 1701 W. Garden Street, Peoria, IL 61605 | 2006-09-29 |
| 1497763197 | Larry T Rolle | Pharmacist | 411 Martin Luther King Dr., Peoria, IL 61605 | 2006-08-04 |
| 1568404762 | Joseph P Kelly Iv | Physical Therapist | 303 N. Kumpf Blvd, Peoria, IL 61605 | 2006-06-12 |
| 1003861634 | Patrick William Elwood | Neurological Surgery | 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605 | 2006-05-23 |
| Find all providers in zip 61605 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787072 | Brijeshaben Urvish Patel | Nurse Practitioner | 13300 N 88th Ave Apt 2007, Peoria, AZ 85381-2614 | 2020-07-10 |
| 1457906380 | Dana Putman | Nurse Practitioner | 26105 N 137th Ln, Peoria, AZ 85383-8080 | 2019-08-07 |
| 1255815858 | Karibu Family Care Pllc | Nurse Practitioner | 20542 N Lake Pleasant Rd Ste 105, Peoria, AZ 85382-9749 | 2018-09-19 |
| 1003170440 | Diana Sun Bone | Nurse Practitioner | 9947 West Happy Valley Parkway, # 104, Peoria, AZ 85383-6001 | 2012-06-29 |
| 1457398265 | Cheryl Kliot-lape | Nurse Practitioner | 800 W Romeo B Garrett Ave, Peoria, IL 61605-2207 | 2006-06-01 |
| 1083263503 | Wellness for Life Family Practice | Nurse Practitioner | 20449 N Lake Pleasant Rd Ste 101, Peoria, AZ 85382-2707 | 2019-09-06 |
| 1366913618 | Krishna Keshav | Nurse Practitioner | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381 | 2018-12-16 |
| 1407223969 | Teresa Michelle Watts | Nurse Practitioner | 900 Main St, Suite 100, Peoria, IL 61602-1005 | 2015-08-31 |
| 1881912392 | Jailson Souza Nascimento | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2010-05-07 |
| 1164561130 | Amy Marie Davis | Nurse Practitioner | 5401 N Knoxville Ave Ste 207, Peoria, IL 61614-5021 | 2007-02-06 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.