Individual provider Active NPI

Ericka Nichole Taress, R.N.

  • Registered Nurse
  • Shaker Heights, OH
National Provider Identifier
1841509379
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN-358435 Issued in OH
Practice address
19619 Chagrin Blvd
Shaker Heights, OH 44122-4937
Phone
(216) 772-8874
NPI assigned
Oct 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-358435 OH Primary

Addresses

Primary practice location

19619 Chagrin Blvd
Shaker Heights, OH 44122-4937

Mailing address

19619 Chagrin Blvd
Shaker Heights, OH 44122-4937
Phone (216) 772-8874

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-358435OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1841509379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19619 CHAGRIN BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441224937",
            "telephone_number": "216-772-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19619 CHAGRIN BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441224937",
            "telephone_number": "216-772-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARESS",
        "first_name": "ERICKA",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN-358435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.