Individual provider Active NPI

Tabitha A. Hale, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairlawn, OH
National Provider Identifier
1295523892
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0039221 Issued in OH
Practice address
150 Springside Dr Ste 350C
Fairlawn, OH 44333-4536
Phone
(832) 869-4818
NPI assigned
Apr 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0039221 OH Primary

Addresses

Primary practice location

150 Springside Dr Ste 350C
Fairlawn, OH 44333-4536

Mailing address

150 Springside Dr Ste 350C
Fairlawn, OH 44333-4536
Phone (832) 869-4818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260212002151 OH Practitioner - Nurse Practitioner 3779063466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7877 Willow Chase Blvd
Houston, TX 77070-5934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0039221OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Jan 4, 2026 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Jan 4, 2026 Accepting new patients

Locations

150 Springside Dr
Ste 350C
Fairlawn, OH 44333
Phone (330) 813-8396

4000 Miamisburg Centerville Rd
Miamisburg, OH 45342
Phone (937) 384-8791

3110 W Central Ave
Ste A
Toledo, OH 43606
Phone (419) 309-3991

842 Corporate Way
Ste 800
Westlake, OH 44145
Phone (440) 213-1239

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1295523892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SPRINGSIDE DR STE 350C",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334536",
            "telephone_number": "832-869-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SPRINGSIDE DR STE 350C",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334536",
            "telephone_number": "832-869-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "TABITHA",
        "middle_name": "A.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-25",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0039221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.