Individual provider Active NPI

Teneisha Taquae Craighead, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Westlake, OH
National Provider Identifier
1083493969
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0034909 Issued in OH
Practice address
30400 Detroit Rd Ste 301
Westlake, OH 44145-1855
Phone
(216) 800-7696
NPI assigned
Sep 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0034909 OH Primary

Addresses

Primary practice location

30400 Detroit Rd Ste 301
Westlake, OH 44145-1855

Mailing address

547 University Ave
Elyria, OH 44035-7236
Phone (440) 452-0740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231020002128 OH Practitioner - Nurse Practitioner 8426404831 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Management Indiana PCGroup PAC ID 5698027266, 12 clinicians

Practice addresses (Care Compare)

5200 Marymount Village Dr
Garfield Heights, OH 44125-2973
Phone (888) 365-6271

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0034909OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Med Management Indiana PC CurrentSince Oct 18, 2024 Accepting new patients
Holistic Family & Behavioral Health LLC CurrentSince Dec 1, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Nov 13, 2024 Accepting new patients
360Team Psychiatry LLC Psychiatric/Mental Health CurrentSince Sep 22, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

5200 Marymount Village Dr
Garfield Heights, OH 44125
Phone (216) 332-1070

5300 Marymount Village Dr
Garfield Heights, OH 44125
Phone (216) 332-1607

740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166

30400 Detroit Rd
Ste 301
Westlake, OH 44145
Phone (216) 926-1369

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1083493969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 UNIVERSITY AVE",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440357236",
            "telephone_number": "440-452-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30400 DETROIT RD STE 301",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451855",
            "telephone_number": "216-800-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIGHEAD",
        "first_name": "TENEISHA",
        "middle_name": "TAQUAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0034909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.