Dyresha Whiteside, REGISTERED NURSE

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

1234565658 Issued in WI

Practice address

11414 W Park PL Ste 202
Milwaukee, WI 53224-3500

Phone

(414) 716-6257

NPI assigned

Oct 27, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hands on Home Health Care LLC

  • Home Health Agency
  • Milwaukee, WI
  • NPI 1861979247
  NPD Authorized official
• Serenity Residential Apartments LLC

  • In Home Supportive Care Agency
  • Milwaukee, WI
  • NPI 1144064445
  NPD
• Tender Care Services, LLC

  • Home Health Agency
  • Milwaukee, WI
  • NPI 1326894957
  NPD

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1235534744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4776 W DEAN RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532233120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11414 W PARK PL STE 202",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532243500",
            "telephone_number": "414-716-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESIDE",
        "first_name": "DYRESHA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "169311",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "1234565658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Whiteford, MD
• Javonte J Whitehead
• Melissa Marie Whitehouse, PHYSICIAN ASSISTANT
• Ryan Whitehouse, AA
• Whites Residential Treatment & Clinical Services, Inc.
• Sheila Rena Whiting, RN
• John William Whitinger IV, MD
• Mariel C Whitley, ARNP
• Emily Whitlock
• Ross Whitlock, MD

• Home Health Registered Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Home Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.