TYLER DANIEL WHITNEY DNP APRN ACNP-AG NPI 1356124986

NPI Information

  • NPI: 1356124986
  • Provider Name: TYLER DANIEL WHITNEY, DNP, APRN, ACNP-AG
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 530 NE GLEN OAK AVE
    PEORIA, IL
    ZIP 61637
  • Phone: (309) 624-2386

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NPI Details

Tyler Daniel Whitney, DNP, APRN, ACNP-AG is an acute care nurse practitioner in Peoria, IL with 2 years of experience. Tyler Daniel Whitney, DNP, APRN, ACNP-AG NPI is 1356124986. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:2023

The provider's business location address is:

530 NE GLEN OAK AVE
PEORIA, IL
ZIP 61637-001
Phone: (309) 624-2386

The NPI 1356124986 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/16/2023 and was last updated on 10/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner209.028088ILLINOISNo
2363LA2100XNurse PractitionerAcute Care209028088ILLINOISNo
3363LC0200XNurse PractitionerCritical Care Medicine209.028088ILLINOISNo
4363LA2100XNurse PractitionerAcute Care209.028088ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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