Individual provider Active NPI

Tianna Lee Quesenberry, DO

  • Student in an Organized Health Care Education/Training Program
  • Warrensville Heights, OH
National Provider Identifier
1053100644
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
58.034676 Issued in OH
Practice address
20000 Harvard Ave
Warrensville Heights, OH 44122-6805
Phone
(216) 491-6000
NPI assigned
May 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 58.034676 OH Primary

Addresses

Primary practice location

20000 Harvard Ave
Warrensville Heights, OH 44122-6805

Mailing address

20000 Harvard Ave
Warrensville Heights, OH 44122-6805
Phone (216) 491-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250605000324 OH Order and Referring Only - AnesthesiologyPractitioner - Anesthesiology 4789193269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1053100644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20000 HARVARD AVE",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441226805",
            "telephone_number": "216-491-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20000 HARVARD AVE",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441226805",
            "telephone_number": "216-491-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUESENBERRY",
        "first_name": "TIANNA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "58.034676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

Verify at the official NPI Registry.