Individual provider Active NPI

Miairah Kavonne Hanson Tichenor

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Dayton, OH
National Provider Identifier
1205765146
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Practice address
4643 Vanguard Ave
Dayton, OH 45417-5935
Phone
(937) 939-5700
NPI assigned
May 18, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X OH Primary

Addresses

Primary practice location

4643 Vanguard Ave
Dayton, OH 45417-5935

Mailing address

4643 Vanguard Ave
Dayton, OH 45417-5935

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

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1205765146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 VANGUARD AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454175935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643 VANGUARD AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454175935",
            "telephone_number": "937-939-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON TICHENOR",
        "first_name": "MIAIRAH",
        "middle_name": "KAVONNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.