Individual provider Active NPI

Tausha Roche' Crenshaw, LPN

  • Licensed Practical Nurse
  • Cincinnati, OH
National Provider Identifier
1194025601
Registry record updated Oct 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN.138516-M-IV Issued in OH
Practice address
430 Clinton Springs Ave
Apt 3
Cincinnati, OH 45217-1945
Phone
(513) 288-6965
NPI assigned
Oct 31, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN.138516-M-IV OH Primary

Addresses

Primary practice location

430 Clinton Springs Ave
Apt 3
Cincinnati, OH 45217-1945

Mailing address

430 Clinton Springs Ave
Apt 3
Cincinnati, OH 45217-1945
Phone (513) 288-6965

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
PN.138516-M-IVOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1288483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288483200000",
    "number": "1194025601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 CLINTON SPRINGS AVE",
            "address_2": "APT 3",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452171945",
            "telephone_number": "513-288-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 CLINTON SPRINGS AVE",
            "address_2": "APT 3",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452171945",
            "telephone_number": "513-288-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "TAUSHA",
        "middle_name": "ROCHE'",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-31",
        "last_updated": "2010-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.138516-M-IV",
            "primary": true
        }
    ],
    "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 Oct 31, 2010; 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.