Individual provider Active NPI

Tenny Whyte

  • Nurse Practitioner
  • El Segundo, CA
National Provider Identifier
1730931247
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209028198 Issued in IL
Practice address
507 S Douglas St
El Segundo, CA 90245-4810
Phone
(800) 985-5596
NPI assigned
Apr 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209028198 IL Primary

Addresses

Primary practice location

507 S Douglas St
El Segundo, CA 90245-4810

Mailing address

507 S Douglas St
El Segundo, CA 90245-4810
Phone (800) 985-5596

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250318002485 IL Practitioner - Nurse Practitioner 4688115678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RPM Care Coordination PCGroup PAC ID 6002205606, 42 clinicians

Practice addresses (Care Compare)

159 N Sangamon St
Suite 200
Chicago, IL 60607-2201
Phone (800) 985-5596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RPM Care Coordination, PC CurrentSince Dec 15, 2024 Accepting new patients

Locations

507 S Douglas St
El Segundo, CA 90245

507 S Douglas St
Fl 3
El Segundo, CA 90245

159 N Sangamon St
Ste 200
Chicago, IL 60607
Phone (312) 549-8076

1500 N Halsted St
Fl 2
Chicago, IL 60642
Phone (312) 762-5335

159 N Sangamon St
Chicago, IL 60607
Phone (312) 600-3775

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1730931247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S DOUGLAS ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454810",
            "telephone_number": "800-985-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S DOUGLAS ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454810",
            "telephone_number": "800-985-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHYTE",
        "first_name": "TENNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-05",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209028198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.