Individual provider Active NPI

Tania Narissa Beasley

  • Personal Care Attendant
  • Indianapolis, IN
National Provider Identifier
1235620550
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
18-014392-1 Issued in IN
Practice address
3250 Oceanline East Dr
Indianapolis, IN 46214-4158
Phone
(317) 667-2020
NPI assigned
May 22, 2018
Last updated
May 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X 18-014392-1 IN
Personal Care Attendant 3747P1801X 18-014392-1 IN Primary
Homemaker 376J00000X 18-014392-1 IN

Addresses

Primary practice location

3250 Oceanline East Dr
Indianapolis, IN 46214-4158

Mailing address

3250 Oceanline East Dr
Indianapolis, IN 46214-4158
Phone (317) 667-2020

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
18-014392-1INMDAdult Companion

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1235620550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 OCEANLINE EAST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462144158",
            "telephone_number": "317-667-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 OCEANLINE EAST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462144158",
            "telephone_number": "317-667-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "TANIA",
        "middle_name": "NARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "IN",
            "license": "18-014392-1",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "IN",
            "license": "18-014392-1",
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "IN",
            "license": "18-014392-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.