Active NPI
Tiara Shaw
- Peer Specialist
- Cincinnati, OH
National Provider Identifier
1164206355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- FSP000256
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| FSP000256 | OH | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Outcomes Care House | Current | Accepting new patients | |
| Platinum Shuttle Service LLC | Past | 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.
-
- Community/Behavioral Health Agency
- Blue Ash, OH
- NPI 1366259632
-
- Case Management Agency
- Cincinnati, OH
- NPI 1831971845
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.