Threasa Whitehead, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95034135 Issued in CA

Practice address

2612 184TH St
Redondo Beach, CA 90278-4509

Phone

(310) 318-4826

NPI assigned

Apr 9, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Threasa Whitehead NP

  • Health Service Clinic/Center
  • Redondo Beach, CA
  • NPI 1841083219
  NPD Authorized official

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1659165934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 184TH ST",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784509",
            "telephone_number": "310-318-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 184TH ST",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784509",
            "telephone_number": "310-318-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "THREASA",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95034135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Lister Whan, D.P.T.
• Christina Anh White, RN, FNP
• Reneshia White
• Robert Charles White Jr., DDS
• Jennifer Mae Whitehall, BCBA
• Whole Life Medical Group Inc.
• William James Wickwire, MD
• Charlotte Wiethoff-Bradley, MFT
• Mary Wiggins, LMFT, LPCC
• Dennis E Wild, DC

• Family Nurse Practitioner in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.