Tiana C Purvis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1100011-SUPV Issued in OH

Practice address

1515 E Broad St
Columbus, OH 43205-1550

Phone

(702) 373-9640

NPI assigned

Mar 30, 2018

Last updated

Mar 30, 2018By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1841796828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051550",
            "telephone_number": "702-373-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIS",
        "first_name": "TIANA",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1100011-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Reine Purple, COTA/L
• Lisa Pursell
• Pamela Susan Purtee, PHARMD
• Dewayne Purter, PHARMD
• Misael Purugganan, M.D.
• Madison Renee Puryear, RPH
• Shannon Michael Puryear
• Antoinette Josephine MJ Pusateri, MD
• Emaly Pusecker, CNP
• Push for Recovery, LLC

• Clinical Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.