Theresia Vilyne Whiteside, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R0027126 Issued in OK

Practice address

315 S Utica Ave
Tulsa, OK 74104-2203

Phone

(918) 582-9355

Fax

(918) 594-4889

NPI assigned

Nov 2, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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

Other names 1

• Miss Theresia Vilyne Nelson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174602270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741042203",
            "telephone_number": "918-582-9355",
            "fax_number": "918-594-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741042203",
            "telephone_number": "918-582-9355",
            "fax_number": "918-594-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESIDE",
        "first_name": "THERESIA",
        "middle_name": "VILYNE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0027126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESIA",
            "last_name": "NELSON",
            "middle_name": "VILYNE",
            "prefix": "MISS",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nikki Whiteley
• Shelby Celia Whiteman
• Sheryl Lynn Whiteman
• Tawny Whitesel, RN
• Samantha Leigh Whiteside, M.D.
• Paul Arthur Whitham, DO
• Christine A Whiting, PHD
• Melissa Wycough Whitley
• Bryan Richard Whitlock, MD
• Bethany Ann Whitman

• Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.