Active NPI
Lashonda Tillis, M. ED
- Adult Companion
- Fishers, IN
National Provider Identifier
1750974291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 20014947
- Practice address
- 11807 Allisonviille Rd #591
Fishers, IN 46038 - Phone
- (317) 399-4572
- Fax
- (317) 585-0600
- NPI assigned
- Feb 16, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | 20014947 | IN | |
| Adult Companion | 372600000X | 20014947 | IN | Primary |
Addresses
Primary practice location
11807 Allisonviille Rd #591
Fishers, IN 46038
Mailing address
11807 Allisonviille Rd #591
Fishers, IN 46038
Phone (317) 399-4572
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Rappora.com | Direct |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20014947 | IN | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1750974291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11807 ALLISONVIILLE RD #591",
"city": "FISHERS",
"state": "IN",
"postal_code": "46038",
"telephone_number": "317-399-4572",
"fax_number": "317-585-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11807 ALLISONVIILLE RD #591",
"city": "FISHERS",
"state": "IN",
"postal_code": "46038",
"telephone_number": "317-399-4572",
"fax_number": "317-585-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLIS",
"first_name": "LASHONDA",
"credential": "M. ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-16",
"last_updated": "2021-02-16",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "IN",
"license": "20014947",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "IN",
"license": "20014947",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Rappora.com",
"affiliation": "N",
"endpointDescription": "software for home care",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11807 Allisonviille Rd #591",
"city": "Fishers",
"state": "IN",
"country_code": "US",
"postal_code": "46038",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.