Active NPI 1184864480 Individual Practitioner Female Practitioner

Tina Ann Theaker , LPN

Licensed Practical Nurse • Fredericktown, OH

Professional Overview & Biography Verified Profile Summary

Tina Theaker, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Fredericktown, OH. Practice services are available at 19880 KNOX LAKE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19880 Knox Lake Rd

Fredericktown, OH 430199669

Telephone 7406941761

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Fredericktown, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 14.0 Yrs

Regional Practice Density

15 Specialists

Practicing in Fredericktown, OH (13034 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH PN095964

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 26, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location February 26, 2009

Registered at 19880 KNOX LAKE RD, FREDERICKTOWN, OH 430199669 (Tel: 7406941761)

📍

Updated Business Mailing Address February 26, 2009

Registered at 19880 KNOX LAKE RD, FREDERICKTOWN, OH 430199669 (Tel: 7406941761)

👤

Provider Name / Credentials Updated February 26, 2009

Recorded as TINA THEAKER, LPN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2009

Licensed Practical Nurse (License #PN095964 in OH)

🟢

Initial NPI Registration & Enumeration February 26, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184864480

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 26, 2009

Last Update: February 26, 2009

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

19880 Knox Lake Rd

Fredericktown, OH 430199669

Phone: 7406941761

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.