Tiara Otworth, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.157026.MEDS Issued in OH

Practice address

2195 Oakes Rd
Franklin Furnace, OH 45629-8949

Phone

(740) 529-9489

NPI assigned

Sep 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tiara.otworth.p1@direct.shawneemhc.nextgenshare.com

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.

• Shawnee Mental Health Center, Inc.

  dba DBA Shawnee Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Portsmouth, OH
  • NPI 1063982924
  NPD (past)
• Shawnee Mental Health Center, Inc.

  dba Shawnee Family Health Center

  • Clinic/Center
  • Portsmouth, OH
  • NPI 1730682733
  NPD (past)
• Shawnee Mental Health Center, Inc.

  dba DBA Shawnee Family Health Center

  • Federally Qualified Health Center (FQHC)
  • West Union, OH
  • NPI 1750851622
  NPD (past)

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1386295913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 OAKES RD",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456298949",
            "telephone_number": "740-529-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 OAKES RD",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456298949",
            "telephone_number": "740-529-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTWORTH",
        "first_name": "TIARA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.157026.MEDS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Nicole Monk
• Leslie Moore
• Thomas Alan Moyer Jr.
• Cindy Jo Newsom, OTR
• Oasis Choice Services, LLC
• Heather Ousley
• Stacie Marie Owens, CDCA
• Brandi Parker
• Michelle Patrick, LPCC
• David Petry

• Licensed Practical Nurse in Franklin Furnace, OH
• Providers in Franklin Furnace, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.