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Tasha Whitehead

Licensed Practical Nurse β€’ Dearborn, MI

Active NPI 1669104410 Individual Practitioner Female Practitioner
Practice location in NPPES

3319 Greenfield Rd # 275
Dearborn, MI 481201212

Call 2483619650 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3319 Greenfield Rd # 275

Dearborn, MI 481201212

Telephone 2483619650
Fax 2486637572
Organization at the Same NPPES Address or Phone
Great Care First Llc Facility NPI 1902538655

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dearborn and Michigan

9 active clinicians are listed under Licensed Practical Nurse with a practice address in Dearborn, MI (4,455 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-22
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES MI 4703109242

An individual 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location January 22, 2026

Registered at 3319 GREENFIELD RD # 275, DEARBORN, MI 481201212 (Tel: 2483619650)

πŸ“
Updated Business Mailing Address January 22, 2026

Registered at 3319 GREENFIELD RD # 275, DEARBORN, MI 481201212 (Tel: 2483619650)

βœ…
NPI Profile Active June 29, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 29, 2022

Registered at 24221 MANISTEE ST, OAK PARK, MI 482371747 (Tel: 2483619650)

πŸ“
Business Mailing Address (Initial Record) June 29, 2022

Registered at 24221 MANISTEE ST, OAK PARK, MI 482371747 (Tel: 2483619650)

πŸ‘€
Provider Name / Credentials (Initial Record) June 29, 2022

Recorded as TASHA WHITEHEAD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2022

Licensed Practical Nurse (license number reported to NPPES: MI 4703109242)

🟒
Initial NPI Registration & Enumeration June 29, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669104410
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2022
Last Update: January 22, 2026
Sole Proprietor: Yes

Mailing Address

3319 Greenfield Rd # 275

Dearborn, MI 481201212

Phone: 2483619650

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.