Tasha L Rosendary

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

8301 Fairington Village Dr
Lithonia, GA 30038-1448

Phone

(814) 807-9524

NPI assigned

Aug 24, 2020

Last updated

Aug 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1396357018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2133",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300581047",
            "telephone_number": "814-807-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 FAIRINGTON VILLAGE DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300381448",
            "telephone_number": "814-807-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENDARY",
        "first_name": "TASHA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shekinahphc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "e-Mail",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "home",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "home",
            "address_1": "8301 Fairington Village Dr",
            "city": "Lithonia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300381448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Shayla Rose, PHARMD
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• Kenya Ruan, CSA

• Home Health Aide in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.