Lee Tish

Primary specialty

HomemakerTaxonomy code 376J00000X

License

0400747 Issued in OH

Practice address

705 Beall Ave Apt 4
Wooster, OH 44691-2978

Phone

(330) 317-6822

NPI assigned

Nov 13, 2020

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1417559444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 E HENRY ST",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914225",
            "telephone_number": "330-317-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BEALL AVE APT 4",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912978",
            "telephone_number": "330-317-6822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1017 E Henry St",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446914225",
            "country_code": "US",
            "telephone_number": "330-317-6822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TISH",
        "first_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "OH",
            "license": "0400747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Ann Timmons
• Tami N. Timmons, LSW
• Timothy D Bowman (Stai Steps to Wellness)
• Tina Nelson MD & Associates LLC (Family 1st Healthcare, LLC)
• Jane Aikman Tipton, MSW, LISW-S
• Paul A Tish, QMHS
• Karra L Todd-Partridge, QMHS-M
• Jonathan T Tolbert, LPCC
• Larazia Tolbert, B.A.
• Morgan Tolentino, LPC

• Homemaker in Wooster, OH
• Providers in Wooster, OH by specialty
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.