Active NPI
Tara Jean Oakey-Kist, DC
- Chiropractor
- Ashtabula, OH
National Provider Identifier
1366536260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2827
- Practice address
- 510 West 44TH St
Ashtabula, OH 44004 - Phone
- (440) 992-1500
- Fax
- (440) 992-8749
- NPI assigned
- Oct 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2827 | OH | Primary |
Addresses
Primary practice location
510 West 44TH St
Ashtabula, OH 44004
Mailing address
510 West 44TH St
Ashtabula, OH 44004
Phone (440) 992-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2174749 | Medicaid | OH |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366536260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 WEST 44TH ST",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "44004",
"telephone_number": "440-992-1500",
"fax_number": "440-992-8749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 WEST 44TH ST",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "44004",
"telephone_number": "440-992-1500",
"fax_number": "440-992-8749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OAKEY-KIST",
"first_name": "TARA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2174749",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.