Holistic NP Primary Care PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

HOLISTIC NP PRIMARY CARE PLLC

Doing business as

Tinea White Sole MBR

Practice address

8923 Avenue a
Brooklyn, NY 11236-1206

Phone

(917) 463-6675

NPI assigned

Mar 6, 2025

Organization subpart

No

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

Authorized official

Name

Tinea White, NPNPI 1992323422

Title

Owner

Phone

(917) 463-6675

Specialties & licenses 1

Addresses

Other names 1

• Tinea White Sole MBR Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tinea White

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1992323422
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1902604614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 E 58TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344119",
            "telephone_number": "917-463-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8923 AVENUE A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112361206",
            "telephone_number": "917-463-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC NP PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TINEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-463-6675",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tinea White Sole MBR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.