Tonya Sue White, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209014037 Issued in IL

Practice address

501 Lake Land Blvd
Mattoon, IL 61938-5283

Phone

(217) 258-3370

NPI assigned

Mar 31, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: twhite318100@carlehiedirect.net

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1073976700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LAKE LAND BLVD",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619385283",
            "telephone_number": "121-761-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 LAKE LAND BLVD",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619385283",
            "telephone_number": "217-258-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TONYA",
        "middle_name": "SUE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209014037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tonya.white@va.gov",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "501 Lake Land Blvd",
            "city": "Mattoon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "619385283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin Beth Wetzel, PHARM. D, RPH
• Nicole Lorraine Whalin, NP-C, PMHNP-BC
• Ashley Diane Whetsell, MSW
• Gianna White, BS
• Heather Lee White, RSA
• Faith Whitley-Gillis, BS
• Whole Body Health Center, S.C. (Go Chiropractic)
• Karen Phylis Wiarda, DO
• Dionte Wiggins
• James Douglas Williams

• Nurse Practitioner in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.