Tashawa Reaves

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

3920 Jackson St
Dearborn Heights, MI 48125-3008

Phone

(734) 834-9676

Fax

(313) 355-9141

NPI assigned

Jul 19, 2012

Last updated

Jul 19, 2012By 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

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": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1447505078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 JACKSON ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481253008",
            "telephone_number": "734-834-9676",
            "fax_number": "313-355-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 JACKSON ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481253008",
            "telephone_number": "734-834-9676",
            "fax_number": "313-355-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVES",
        "first_name": "TASHAWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutritionist in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Nutritionist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.