Tashauna Deniesha Flutch, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

12280A Issued in MO

Practice address

1095 Cedar PL
Florissant, MO 63031-4445

Phone

(314) 885-2553

NPI assigned

Aug 17, 2023

Last updated

Aug 17, 2023By 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

Other names 1

• Tashauna Deniesha Flutch Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1376326710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MANOR DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630314148",
            "telephone_number": "314-885-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 CEDAR PL",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630314445",
            "telephone_number": "314-885-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUTCH",
        "first_name": "TASHAUNA",
        "middle_name": "DENIESHA",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MO",
            "license": "12280A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TASHAUNA",
            "last_name": "FLUTCH",
            "middle_name": "DENIESHA",
            "credential": "CNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Nurse's Aide in Florissant, MO
• Providers in Florissant, MO by specialty
• Nurse's Aide in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.