Tawanna Deshay Ericksen, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95352839 Issued in CA

Practice address

8405 Beverly Blvd
Los Angeles, CA 90048-3401

Phone

(323) 653-1990

NPI assigned

Mar 31, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tawanna Deshay Durham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1174326607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 DE SOTO AVE APT 35401",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913670205",
            "telephone_number": "302-632-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483401",
            "telephone_number": "323-653-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSEN",
        "first_name": "TAWANNA",
        "middle_name": "DESHAY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95352839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "95352839",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAWANNA",
            "last_name": "DURHAM",
            "middle_name": "DESHAY",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric R. Sue, M.D., Inc.
• Erica Folinsky Dba Your Healing Begins Here
• Erica Marchand PH.D., Psychologist Apc
• Erica Rozmid PHD, a Professional Psychological Corporation Inc
• Erica Thurlow Marriage & Family Counseling, Inc
• Johnathan Luke Erickson, DO
• Tracy Anne Erickson, L.AC
• Isaac Miedema Ericson
• Erie V Boorman MD Inc
• Erika B. Salao, DMD, Inc.

• Registered Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Registered Nurse in California

• 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.