Individual provider Active NPI

Tasha Fiessinger

  • Licensed Practical Nurse
  • Lebanon, OH
National Provider Identifier
1568053726
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN.167578.MEDS-IV Issued in OH
Practice address
1521 Walmart Drive Suite 901
Lebanon, OH 45036
Phone
(513) 331-7034
NPI assigned
Feb 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN.167578.MEDS-IV OH Primary

Addresses

Primary practice location

1521 Walmart Drive Suite 901
Lebanon, OH 45036

Mailing address

5210 Grants Frederick
South Lebanon, OH 45065
Phone (513) 465-8414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPN.167578.MEDS-IVOHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Baymark Health Services of Ohio, Inc. CurrentSince Feb 7, 2021 Accepting new patients

Locations

1521 Walmart Dr
Ste 901
Lebanon, OH 45036
Phone (513) 225-7736

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1568053726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 GRANTS FREDERICK",
            "city": "SOUTH LEBANON",
            "state": "OH",
            "postal_code": "45065",
            "telephone_number": "513-465-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 WALMART DRIVE SUITE 901",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "45036",
            "telephone_number": "513-331-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIESSINGER",
        "first_name": "TASHA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.167578.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.