Individual provider Active NPI

Tinea White

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1992323422
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346063 Issued in NY
Practice address
5397 Kings Hwy
Brooklyn, NY 11203-6738
Phone
(917) 463-6675
Fax
(347) 378-2250
NPI assigned
Jul 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 346063 NY Primary

Addresses

Primary practice location

5397 Kings Hwy
Brooklyn, NY 11203-6738

Mailing address

5397 Kings Hwy
Brooklyn, NY 11203-6738
Phone (917) 463-6675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20201211001918 NY Practitioner - Nurse Practitioner 9133531338 Reassigns benefits to 5 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockwell Health LLCGroup PAC ID 5597125609, 10 clinicians

Practice addresses (Care Compare)

17 W 9TH St
Brooklyn, NY 11231-2501
Phone (718) 599-9090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
346063NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rockwell Health LLC CurrentSince Jul 1, 2024 Accepting new patients
464 Bay Ridge Medical PLLC CurrentSince Sep 1, 2023 Accepting new patients
Beacon Health Medical PC CurrentSince Oct 1, 2024 Accepting new patients
Holistic NP Primary Care PLLC CurrentSince Apr 1, 2025 Accepting new patients
Divinity Medical Services PLLC CurrentSince Aug 3, 2021 Accepting new patients
Ilyagu Medical PC Past Accepting new patients
Jackson Heights Medical Care PC Past Accepting new patients
Holistic Transportation LLC. PastSince Jul 12, 2020 Accepting new patients

Locations

8923 Avenue A
Brooklyn, NY 11236
Phone (718) 385-8181

202 Caton Ave
Brooklyn, NY 11218

17 W 9th St
Brooklyn, NY 11231
Phone (718) 599-9090

464 Bay Ridge Ave
Ste B
Brooklyn, NY 11220
Phone (347) 801-2542

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHFGDD

Organizations & group practices 8

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": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1992323422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5397 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112036738",
            "telephone_number": "917-463-6675",
            "fax_number": "347-378-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5397 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112036738",
            "telephone_number": "917-463-6675",
            "fax_number": "347-378-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TINEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.