Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tanya Whitmore, CNP

Individual provider Physician Assistant · NPI 1164013843

Tanya Whitmore, CNP is a Nurse Practitioner in Beachwood, Ohio. Qualified in 2021, 5 years ago. Practices with Debalzo, Elgudin Levine, Risen LLC, a 10-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2021
Specialties on file
3
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

23425 Commerce Park Ste 104
Beachwood, OH 44122-5848
Phone: (216) 831-2900
Fax: (216) 831-4306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5374 Riddle Rd, Ravenna, OH 44266-9202 — (330) 577-6206

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.0030746 (OH)
Physician Assistant Taxonomy 363A00000X · Licence APRN.CNP.0030746
Home Health Aide Taxonomy 374U00000X

Record details

NPI number1164013843
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorYes
NPI enumeratedJanuary 26, 2021
Last updated in NPPESFebruary 15, 2023
Certification dateFebruary 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Debalzo, Elgudin. Levine, Risen Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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