Elizabeth Tkach

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN.110148 Issued in OH

Practice address

921 Mystic LN
Troy, OH 45373-2254

Phone

(937) 332-3860

NPI assigned

Feb 13, 2015

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

State licenses

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1588055446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 RENWICK WAY",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453738461",
            "telephone_number": "937-440-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 MYSTIC LN",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732254",
            "telephone_number": "937-332-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TKACH",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.110148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easaw Thomas, M.D.
• Annie R Thompson, D.C.
• Gregory Lee Thompson
• Robert P Thorne, PTA2096
• Jason Michael Tippie, PA-C
• Todd Gould MD Inc
• Andrew Toller
• Chester Cashmir Torkornoo, DDS
• Mark Lee Tremblay, RPH
• Annette K Triplett

• Licensed Practical Nurse in Troy, OH
• Providers in Troy, 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 Feb 13, 2015; 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.