Felicia Couseyon Tarley, CNA

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

G000-075-945-700 Issued in MN

Practice address

4552 18TH St S
Moorhead, MN 56560-7188

Phone

(701) 729-1634

NPI assigned

May 6, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Godtime LLC

  • In Home Supportive Care Agency
  • Fargo, ND
  • NPI 1427864347
  NPD Authorized official

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1144077215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4552 18TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565607188",
            "telephone_number": "701-729-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4552 18TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565607188",
            "telephone_number": "701-729-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARLEY",
        "first_name": "FELICIA",
        "middle_name": "COUSEYON",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "G000-075-945-700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrissa Swenson
• Emily J Swenson, LICSW
• Roger Paul Swenson
• Trinh Bao Ta
• Shunichi Takitsu
• Jean M Taylor, LPCC
• Lavonda Taylor
• Shelby Jo Tczap
• Samantha Teschendorf
• Bonnie Linda Teske, COTA

• Home Health Agency in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.