Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TYVELL WHITESIDE CNA
NPI 1639080005
Nurse's Aide in Springfield, IL

Active since September 15, 2026
718 N 11TH ST, SPRINGFIELD, IL 62702(217) 828-8869 Get Directions Write a Review

NPPES record added: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Tyvell Whiteside Cna NPPES

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

TYVELL WHITESIDE CNA (NPI 1639080005) is an individual nurse's aide in Springfield, Illinois and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1639080005
Entity TypeIndividualMale
Primary Taxonomy376K00000X
Provider Legal NameTYVELL WHITESIDECredential: CNA
Location Address718 N 11TH STSpringfield, IL 62702-5511
Mailing Address2507 Delaware DrSpringfield, IL 62702-1211 · (217) 828-8869
Sole ProprietorNo
Enumeration DateSeptember 15, 2026
NPPES CertifiedSeptember 15, 2026
✔ NPI 1639080005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
718 N 11TH ST, Springfield, IL 62702

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 Tyvell Whiteside's NPI number?

The NPI number for Tyvell Whiteside is 1639080005. It was assigned to this individual provider in the NPPES registry on September 15, 2026.

Where is Tyvell Whiteside located?

Tyvell Whiteside practices at 718 N 11th St, Springfield, IL 62702. The listed phone number is (217) 828-8869.

What is Tyvell Whiteside's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Tyvell Whiteside was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.