Tabitha Dornal

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Practice address

3457 Vine St
Cincinnati, OH 45220-1332

Phone

(513) 282-5591

Fax

(513) 954-4670

NPI assigned

Dec 19, 2022

Last updated

Dec 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1275245508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3457 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452201332",
            "telephone_number": "513-282-5591",
            "fax_number": "513-954-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3457 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452201332",
            "telephone_number": "513-282-5591",
            "fax_number": "513-954-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORNAL",
        "first_name": "TABITHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casie Germain Dorko, M.S., LSW
• Gina Renee Dorlac, MD
• Gretchen L Dorman, LCSW
• Lisa Dorn, MD, PHD
• Lorah D Dorn, RN, CNP, PH.D.
• Alexa Dornbrook, CNP
• Holly Ji Yun Dornette, FNP-BC
• Stacey Dornette
• Amy Doron, FNP-C
• Josiah Doron, MT-BC

• Developmentally Disabled Services Day Training Agency in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.