Active NPI
Taresa Lou'Nee Avery, RN
- Continuing Education/Staff Development Registered Nurse
- Cincinnati, OH
National Provider Identifier
1861719965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Continuing Education/Staff Development Registered Nurse
- License
- RN396147
- Practice address
- 155 Northland Blvd
Cincinnati, OH 45246-3121 - Phone
- (513) 400-9006
- Fax
- (513) 386-8730
- NPI assigned
- Apr 28, 2010
- Last updated
- Mar 4, 2024
- 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 |
|---|---|---|---|---|
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | RN396147 | OH | Primary |
Addresses
Primary practice location
155 Northland Blvd
Cincinnati, OH 45246-3121
Mailing address
375 Glensprings Dr Ste 410
Cincinnati, OH 45246-2316
Phone (151) 338-7974
Other names 1
- Taresa Anderson
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN396147 | OH | MD | Continuing Education/Staff Development Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Step Above the Rest Transportation | Current | Accepting new patients | |
| A Step Above the Rest Home Care | Current | Accepting new patients |
Locations
375 Glensprings Dr
Ste 410
Cincinnati, OH 45246
Phone (513) 387-9743
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- In Home Supportive Care Agency
- Cincinnati, OH
- NPI 1982426854
-
- Non-emergency Medical Transport (VAN)
- Cincinnati, OH
- NPI 1972361509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1861719965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 GLENSPRINGS DR STE 410",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452462316",
"telephone_number": "151-338-7974",
"fax_number": "513-882-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 NORTHLAND BLVD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452463121",
"telephone_number": "513-400-9006",
"fax_number": "513-386-8730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "TARESA",
"middle_name": "LOU'NEE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-28",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "OH",
"license": "RN396147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARESA",
"last_name": "ANDERSON",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.