Individual provider Active NPI

Tania Shurn, LPN

  • Licensed Practical Nurse
  • Garfield Heights, OH
National Provider Identifier
1326447947
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
170978.MEDS-IV Issued in OH
Practice address
12904 Christine Ave
Garfield Heights, OH 44105-7036
Phone
(216) 324-9261
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 1326447947 OH
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X
Licensed Practical Nurse 164W00000X 170978.MEDS-IV OH Primary

Addresses

Primary practice location

12904 Christine Ave
Garfield Heights, OH 44105-7036

Mailing address

12904 Christine Ave
Garfield Heights, OH 44105-7036

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
170978.MEDS-IVOHMDLicensed Practical Nurse
1326447947OHMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jay T Homecare Services LLC Licensed Practical Nurse CurrentSince Jun 18, 2023 Accepting new patients

Organizations & group practices 1

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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1326447947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12904 CHRISTINE AVE",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441057036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12904 CHRISTINE AVE",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441057036",
            "telephone_number": "216-324-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURN",
        "first_name": "TANIA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OH",
            "license": "1326447947",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "170978.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.