Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tyvell Whiteside, CNA

Individual provider Nurse's Aide · NPI 1639080005

Tyvell Whiteside, CNA is a Nurse's Aide in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

718 N 11th St
Springfield, IL 62702-5511
Phone: (217) 828-8869
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X (IL)

Record details

NPI number1639080005
Entity typeIndividual (Type 1)
GenderMale
Credentials CNA
Sole proprietorNo
NPI enumeratedSeptember 15, 2026
Last updated in NPPESSeptember 15, 2026
Certification dateSeptember 15, 2026

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