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MS. TINA ANN THEAKER LPN
NPI 1184864480
Licensed Practical Nurse in Fredericktown, OH

Active since February 26, 2009
19880 KNOX LAKE RD, FREDERICKTOWN, OH 43019(740) 694-1761 Get Directions Write a Review

NPPES record last updated: February 26, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Tina Ann Theaker Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TINA ANN THEAKER LPN (NPI 1184864480) is an individual licensed practical nurse in Fredericktown, Ohio, licensed in Ohio (PN095964) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1184864480
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. TINA ANN THEAKERCredential: LPN
Location Address19880 KNOX LAKE RDFredericktown, OH 43019-9669
Mailing Address19880 Knox Lake RdFredericktown, OH 43019-9669 · (740) 694-1761
Phone(740) 694-1761
Sole ProprietorYes
Enumeration DateFebruary 26, 2009
✔ NPI 1184864480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · PN095964
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
19880 KNOX LAKE RD, Fredericktown, OH 43019
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Theaker's NPI number?

The NPI number for Tina Theaker is 1184864480. It was assigned to this individual provider in the NPPES registry on February 26, 2009.

Where is Tina Theaker located?

Tina Theaker practices at 19880 Knox Lake Rd, Fredericktown, OH 43019. The listed phone number is (740) 694-1761.

What is Tina Theaker's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tina Theaker was last updated on February 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.