Active NPI
Tashua Shanta Edwards
- In Home Supportive Care Agency
- Murfreesboro, TN
National Provider Identifier
1841835345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- I000000025447
- Practice address
- 1751 Lascassas Pike Apt F93
Murfreesboro, TN 37130-2132 - Phone
- (731) 487-9103
- NPI assigned
- Nov 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | I000000025447 | TN | Primary |
Addresses
Primary practice location
1751 Lascassas Pike Apt F93
Murfreesboro, TN 37130-2132
Mailing address
1751 Lascassas Pike Apt F93
Murfreesboro, TN 37130-2132
Phone (731) 487-9103
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Tashuae@mail.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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I000000025447 | TN | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1841835345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 LASCASSAS PIKE APT F93",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371302132",
"telephone_number": "731-487-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 LASCASSAS PIKE APT F93",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371302132",
"telephone_number": "731-487-9103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "TASHUA",
"middle_name": "SHANTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-08",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "TN",
"license": "I000000025447",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Tashuae@mail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1751 Lascassas Pike Apt F93",
"city": "Murfreesboro",
"state": "TN",
"country_code": "US",
"postal_code": "371302132",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.