Individual provider Active NPI

Tana Ann Whitt, APRN CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Medina, OH
National Provider Identifier
1992233456
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.021116 Issued in OH
Practice address
3593 Medina Rd Ste 181
Medina, OH 44256-8182
Phone
(330) 536-3746
Fax
(888) 204-5174
NPI assigned
May 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 399935 OH
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X APRNCNP021116 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.021116 OH Primary

Addresses

Primary practice location

3593 Medina Rd Ste 181
Medina, OH 44256-8182

Mailing address

3593 Medina Rd Ste 181
Medina, OH 44256-8182
Phone (330) 536-3746

Other names 1

  • Tana Ann Henley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170809002996 OH Practitioner - Nurse Practitioner 1658642632 Reassigns benefits to 2 organizations
I20201019001440 WV Practitioner - Nurse Practitioner 1658642632 Reassigns benefits to 1 organization
I20201201001512 PA Practitioner - Nurse Practitioner 1658642632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.06 of 100Reported as group
Quality
90.22
Promoting interoperability
100
Improvement activities
40
Cost
69.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
399935OHMDRegistered Nurse
APRN.CNP.021116OHMDPsychiatric/Mental Health Nurse Practitioner
APRNCNP021116OHMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia Psych. Services PLLC Psychiatric/Mental Health CurrentSince Mar 1, 2022 Accepting new patients
P360 Care Services PLLC Dba Psych 360 Psychiatric/Mental Health CurrentSince Mar 1, 2022 Accepting new patients
Quick Med Urgent Care LLC CurrentSince Jun 22, 2025 Accepting new patients

Locations

3593 Medina Rd
Medina, OH 44256
Phone (330) 664-9250

3499 Belmont Ave
Youngstown, OH 44505
Phone (330) 476-2260

2600 Willow Street Pike N
Ste 116
Willow Street, PA 17584
Phone (717) 464-5693

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19801/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/1576/brand/1/csg/22/fhir/r4

Organizations & group practices 4

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": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992233456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3593 MEDINA RD STE 181",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568182",
            "telephone_number": "330-536-3746",
            "fax_number": "888-204-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3593 MEDINA RD STE 181",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568182",
            "telephone_number": "330-536-3746",
            "fax_number": "888-204-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITT",
        "first_name": "TANA",
        "middle_name": "ANN",
        "credential": "APRN CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "399935",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRNCNP021116",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.021116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANA",
            "last_name": "HENLEY",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.