Independent Provider

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

2870880 Issued in OH

Legal business name

INDEPENDENT PROVIDER

Practice address

3664 Larkwell Way
Columbus, OH 43232-3611

Phone

(614) 571-5191

NPI assigned

Jun 24, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Tasshia Renee Lee

Title

Independent Provider

Phone

(614) 571-5191

Specialties & licenses 1

Addresses

Other names 1

• Independent Provider Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1023423571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3664 LARKWELL WAY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43232",
            "telephone_number": "614-571-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3664 LARKWELL WAY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432323611",
            "telephone_number": "614-571-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TASSHIA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "INDEPENDENT PROVIDER",
        "authorized_official_telephone_number": "614-571-5191",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OH",
            "license": "2870880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independent Provider",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Independent
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• Independent Care LLC
• Independent Home Care Inc.
• Independent Inpatient Physicians, Inc.
• Independent Provider
• Independent Provider
• Independent Transportation Services LLC
• India'S Angels
• Individuals of Growth

• Preferred Provider Organization in Columbus, OH
• Providers in Columbus, OH by specialty
• Preferred Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.