Tymeshia Lajoyce Childress, CTRS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5726 Southwyck Blvd
Toledo, OH 43614-1559

Phone

(419) 708-0441

Fax

(419) 932-6599

NPI assigned

Jan 11, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1720792989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S ERIE ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436048291",
            "telephone_number": "419-944-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141559",
            "telephone_number": "419-708-0441",
            "fax_number": "419-932-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDRESS",
        "first_name": "TYMESHIA",
        "middle_name": "LAJOYCE",
        "credential": "CTRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children & Adolescents Quality Care (Toledo Pediatric Associates)
• Children of Light Ministries
• Children's Intensive Caring, Inc.
• Nakila L Childress, QBHS
• Teri Ann Childress
• Uneika M Childress
• Chillicothe Acute Care Clinic, Inc. (Anchor Addiction and Wellness Center)
• Rhonda Chillus
• Bothwell Mike Chimhuka
• Kelliher Chin

• Case Manager/Care Coordinator in Toledo, OH
• Providers in Toledo, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.