Tiana N Cooper, STNA

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.184732.MEDS-IV Issued in OH

Practice address

3838 Washington Ave Apt 16
Cheviot, OH 45211-4649

Phone

(513) 227-7546

NPI assigned

Oct 5, 2022

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2024.

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1093430779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 WASHINGTON AVE APT 16",
            "city": "CHEVIOT",
            "state": "OH",
            "postal_code": "452114649",
            "telephone_number": "513-227-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 WASHINGTON AVE APT 16",
            "city": "CHEVIOT",
            "state": "OH",
            "postal_code": "452114649",
            "telephone_number": "513-227-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "TIANA",
        "middle_name": "N",
        "credential": "STNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.184732.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Elizabeth Goodfellow
• Ohio CVS Stores LLC
• Parent Promise
• Todd Raymond Springmyer
• Thomas Storer, RPH

• All providers in Cheviot, OH
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.