Active NPI
Teasia Tarver
- Case Manager/Care Coordinator
- Columbus, OH
National Provider Identifier
1659910685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1245 Mount Vernon Ave Ste 1233
Columbus, OH 43203-1578 - Phone
- (614) 972-6493
- NPI assigned
- Dec 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 169324 | OH | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1245 Mount Vernon Ave Ste 1233
Columbus, OH 43203-1578
Mailing address
2798 Conrad Dr
Columbus, OH 43207-3500
Phone (330) 942-4066
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
| License | State | Type | Specialty |
|---|---|---|---|
| 169324 | OH | MD | Substance Use Disorder Rehabilitation Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1659910685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2798 CONRAD DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432073500",
"telephone_number": "330-942-4066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 MOUNT VERNON AVE STE 1233",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432031578",
"telephone_number": "614-972-6493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARVER",
"first_name": "TEASIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-20",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "OH",
"license": "169324",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.