Active NPI
Tia Thrush
- Licensed Vocational Nurse
- Redding, CA
National Provider Identifier
1013589126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN739435
- Practice address
- 1237 California St
Redding, CA 96001-0618 - Phone
- (530) 246-8339
- Fax
- (530) 246-8364
- NPI assigned
- Jul 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11876 | CA | |
| Licensed Vocational Nurse | 164X00000X | VN739435 | CA | Primary |
Addresses
Primary practice location
1237 California St
Redding, CA 96001-0618
Mailing address
1237 California St
Redding, CA 96001-0618
Phone (530) 246-8339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VN739435 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734134400000",
"number": "1013589126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1237 CALIFORNIA ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960010618",
"telephone_number": "530-246-8339",
"fax_number": "530-246-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1237 CALIFORNIA ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960010618",
"telephone_number": "530-246-8339",
"fax_number": "530-246-8364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THRUSH",
"first_name": "TIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-16",
"last_updated": "2024-12-14",
"certification_date": "2024-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "11876",
"primary": false
},
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN739435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.