Tahani Shire

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5624 Lincoln Dr Ste 295
Edina, MN 55436-1606

Phone

(952) 395-3322

NPI assigned

May 31, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Ausome Development Center Inc

  • Early Intervention Provider Agency
  • Edina, MN
  • NPI 1255092805
  NPD

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1407696933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5624 LINCOLN DR STE 295",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361606",
            "telephone_number": "952-395-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5624 LINCOLN DR STE 295",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361606",
            "telephone_number": "952-395-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRE",
        "first_name": "TAHANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Grace Sherk
• John E Sherman, M.D.
• Helen H. Shi, M.D.
• Kirk Anthony Shibley, M.D.
• Jordan Shilts
• Michael A Shirilla, DPT
• Elaine Marie Shirley, NP
• Sergey Shkurovich, M.D.
• Paul J Shlafer, O.D.
• Jamie Sarah Shores, DPT

• Behavior Technician in Edina, MN
• Providers in Edina, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.