Individual provider Active NPI

Tiara Shaw

  • Peer Specialist
  • Cincinnati, OH
National Provider Identifier
1164206355
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
FSP000256 Issued in OH
Practice address
3542 Brookstone Dr Apt C
Cincinnati, OH 45209-1171
Phone
(513) 570-0872
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X FSP000256 OH Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

3542 Brookstone Dr Apt C
Cincinnati, OH 45209-1171

Mailing address

9420 Towne Square Ave
Blue Ash, OH 45242-6922
Phone (513) 399-2214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
FSP000256OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Outcomes Care House CurrentSince Mar 24, 2025 Accepting new patients
Platinum Shuttle Service LLC PastSince Jul 21, 2024 Accepting new patients

Locations

9420 Towne Square Ave
Blue Ash, OH 45242
Phone (513) 201-5623

Organizations & group practices 2

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": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1164206355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 TOWNE SQUARE AVE",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426922",
            "telephone_number": "513-399-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3542 BROOKSTONE DR APT C",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091171",
            "telephone_number": "513-570-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "TIARA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "FSP000256",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.