DR. TASHANNA GILLENWATER ED.D NPI 1831885292

NPI Information

NPI: 1831885292
Provider Name: DR. TASHANNA GILLENWATER, ED.D
Classification: Health Educator - 174H00000X
Entity Type: Individual
Address:
3818 216TH PL
MATTESON, IL
ZIP 60443
Phone: (773) 269-0301
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DR. Tashanna Gillenwater, ED.D is a health educator in Matteson, IL. The provider is health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work. DR. Tashanna Gillenwater, ED.D NPI is 1831885292. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3818 216TH PL
MATTESON, IL
ZIP 60443-725
Phone: (773) 269-0301
Fax: (708) 964-2178

The enumeration date for this NPI number is 4/17/2023 and was last updated on 5/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	133N00000X	Nutritionist	3020440	ILLINOIS	No
2	171400000X	Health and Wellness Coach	340416	ILLINOIS	No
3	171400000X	Health and Wellness Coach		ILLINOIS	No
4	174H00000X	Health Educator	340416	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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