Tanesha Nichole Addie, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

131334IV Issued in OH

Practice address

1765 E Waterford CT
Akron, OH 44313-8366

Phone

(330) 510-6546

NPI assigned

Oct 29, 2011

Last updated

Jan 22, 2018By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Major Transportation

  • Non-emergency Medical Transport (VAN)
  • Akron, OH
  • NPI 1265086219
  Authorized official Same address or phone

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

{
    "created_epoch": "1319846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1578849964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1493",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443091493",
            "telephone_number": "330-415-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 E WATERFORD CT",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443138366",
            "telephone_number": "330-510-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDIE",
        "first_name": "TANESHA",
        "middle_name": "NICHOLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-29",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "131334IV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056892",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Adams, LPN
• Thomas G Adams II, PT
• Misti Adamson
• Lokeshwar Raaju Addi Palle
• Nathaniel Lamont Addie
• Chanel Addishin
• Addus Healthcare (South Carolina), Inc.
• Olayinka Ibironke Adebolu, MD
• Emmanuel Olayinka Adekunle, M.D.
• Temitope A Adeleke, CNP, PMHNP-C, FNP-C

• Licensed Practical Nurse in Akron, OH
• Providers in Akron, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.