MS. THREASA WHITEHEAD FNP-C
NPI 1659165934
Nurse Practitioner - Family in Redondo Beach, CA
About Ms. Threasa Whitehead Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. THREASA WHITEHEAD FNP-C (NPI 1659165934) is an individual family provider in Redondo Beach, California, licensed in California (95034135) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Threasa Whitehead Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90278 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Threasa Whitehead's NPI number?
The NPI number for Threasa Whitehead is 1659165934. It was assigned to this individual provider in the NPPES registry on April 9, 2025.
Where is Threasa Whitehead located?
Threasa Whitehead practices at 2612 184th St, Redondo Beach, CA 90278. The listed phone number is (310) 318-4826.
What is Threasa Whitehead's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Threasa Whitehead enrolled in Medicare?
Yes. Threasa Whitehead is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Threasa Whitehead was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Ms. Threasa Whitehead, FNP-C · NPI 1659165934
Family physician in Redondo Beach, California. Individual provider, active in the CMS NPPES registry since April 9, 2025.
## Identity
- **NPI:** 1659165934 (Entity type: Individual)
- **Enumerated:** April 9, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95034135 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2612 184TH ST, Redondo Beach, CA 90278-4509
- **Phone:** (310) 318-4826
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1659165934) · Data from the CMS NPPES public registry.