Individual provider · Type 1 NPI
Tyvell Whiteside, CNA
Nurse's Aide · Springfield, IL
Practice location
718 N 11th St
Springfield, IL 62702-5511
Mailing address
2507 Delaware Dr
Springfield, IL 62702-1211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse's Aide Primary | 376K00000X | None listed |
Nurse's Aide: (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…
Other nurse's aide providers in Springfield
About NPI 1639080005
Tyvell Whiteside, CNA's National Provider Identifier is 1639080005, issued on Sep 15, 2026. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Springfield, IL. The record was last updated on Sep 15, 2026.