Individual provider Active NPI

Daria Tabor

  • Licensed Practical Nurse
  • Centerville, OH
National Provider Identifier
1669078432
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN.174947 Issued in OH
Practice address
1268 Hollowbrook Dr
Centerville, OH 45458-1812
Phone
(513) 206-5244
NPI assigned
Dec 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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.174947 OH Primary

Addresses

Primary practice location

1268 Hollowbrook Dr
Centerville, OH 45458-1812

Mailing address

1268 Hollowbrook Dr
Centerville, OH 45458-1812
Phone (513) 206-5244

Other practice location 1

3038 Olive Rd
Trotwood, OH 45426-2640
Phone (937) 825-5445

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.174947OHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
DLT Home Health Care for Children Current Accepting new patients

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": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1669078432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 HOLLOWBROOK DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581812",
            "telephone_number": "513-206-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 HOLLOWBROOK DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581812",
            "telephone_number": "513-206-5244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3038 Olive Rd",
            "address_purpose": "LOCATION",
            "city": "Trotwood",
            "state": "OH",
            "postal_code": "454262640",
            "country_code": "US",
            "telephone_number": "937-825-5445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABOR",
        "first_name": "DARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.174947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.