Tieasha Stephens
Individual provider Active NPI Case Manager/Care Coordinator · Newyork, NY
NPI 1134838790 · NPPES record last updated Nov 22, 2022
Key facts
- NPI
- 1134838790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 335-337
Lenox Avw
Newyork, NY 10027 - Phone
- (347) 346-3934
- NPI assigned
- Nov 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NY | Yes |
Addresses
Primary practice location
335-337
Lenox Avw
Newyork, NY 10027
Mailing address
335-337
Lenox Avw
Newyork, NY 10027
Phone (347) 346-3934
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.