LATONYA WHITLEY (NPI# 1477645976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477645976 |
| Entity Type | Individual |
| Full Name | LATONYA WHITLEY |
| Credential | DNP, MHA, MS |
| Practice Address |
17650 134th Ave Se S201 Renton WA 98058-6889 |
| Mailing Address |
635 Maryland Ave W Apt 208 Saint Paul MN 55117-4160 |
| Practice Telephone | 6127014301 |
| Mailing Telephone | 6127014301 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2018-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R1585841 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 642452000 | 05 |
| Street Address |
17650 134TH AVE SE S201 |
| City | RENTON |
| State | WA |
| Zip Code | 98058-6889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205147410 | Jolene Simpson | Psychologist | 17650 134th Ave Se, L304, Renton, WA 98058-6889 | 2010-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639799471 | Fairwood Dental LLC | Dentist | 14250 Se 176th #j7, Renton, WA 98058 | 2020-04-22 |
| 1538641386 | Kenneth Graber | Physical Therapist | 17650 140th Avenue Sw, Suite B-07, Renton, WA 98058 | 2018-08-29 |
| 1508210154 | Lucy Johnson | Specialist/Technologist | 11808 Se 172nd Ln Apt N303, Renton, WA 98058 | 2016-04-20 |
| 1104253947 | Bertila Martinez | Dental Hygienist | 14600 Se 176th St #v4, Renton, WA 98058 | 2013-10-10 |
| 1326340456 | Tabatha Burris | Specialist | 14410 Petrovistsky Rd Se #109, Renton, WA 98058 | 2010-11-22 |
| 1295042570 | Hanh Q Nguyen | Pharmacist | 16940 116th Avenue Southeast, Renton, WA 98058 | 2010-09-08 |
| 1861692675 | Ernestine Johanna Rombouts | Counselor | 16205 128th Place Se, Renton, WA 98058 | 2007-07-19 |
| 1912100991 | Cara Rozell | Pharmacist | 400 South 43rd St, Renton, WA 98058 | 2007-06-07 |
| 1699821231 | Lynne Suzanne Balderson | Massage Therapist | 14410 Se Petrovitsky Rd #201, Renton, WA 98058 | 2007-01-26 |
| 1023173465 | Sara Jean Denherder | Massage Therapist | 17070 - 140th Ave Se, Renton, WA 98058 | 2006-12-26 |
| Find all providers in zip 98058 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770044018 | Ashley Ann Lee | Nurse Practitioner | 1205 N 10th St Ste 301-c, Renton, WA 98057-5577 | 2019-03-28 |
| 1326403536 | Jessica Michelle Kirkwood | Nurse Practitioner | 4300 Talbot Rd S Ste 103, Renton, WA 98055-6238 | 2015-12-15 |
| 1194064535 | Michelle Marie Waldron | Nurse Practitioner | 1413 Sw 43rd Street, Renton, WA 98057-3356 | 2013-02-05 |
| 1730133638 | Valerie Reed | Nurse Practitioner | 707 S Grady Way, Ste 600, Renton, WA 98057-3227 | 2006-05-22 |
| 1790343408 | Lauren Smilde | Nurse Practitioner | 400 S 43rd St, Renton, WA 98055-5714 | 2019-05-29 |
| 1538723507 | Tyshayna Louis | Nurse Practitioner | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2019-04-25 |
| 1578033494 | Louisa Michael | Nurse Practitioner | 200 S 2nd St, Renton, WA 98057-2011 | 2018-12-04 |
| 1922582170 | Savannah Elizabeth Morgan | Nurse Practitioner | 601 S Carr Rd Ste 100, Renton, WA 98055-5802 | 2018-09-23 |
| 1205334349 | Leeann Marie Blattner | Nurse Practitioner | 350 S 38th Ct Ste 100, Renton, WA 98055-5777 | 2018-01-23 |
| 1184138208 | Erin M Eddington Alden | Nurse Practitioner | 400 S 43rd St, Renton, WA 98055 | 2017-11-28 |
| Find all providers in RENTON | ||||
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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.