Individual provider Active NPI

Tara Marshia Bigbee, LPN

  • Licensed Practical Nurse
  • Cleveland, OH
National Provider Identifier
1891977534
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN107950 Issued in OH
Practice address
4361 Clarkwood Pkwy
Apt 433
Cleveland, OH 44128-4821
Phone
(216) 702-4232
NPI assigned
Dec 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN107950 OH Primary

Addresses

Primary practice location

4361 Clarkwood Pkwy
Apt 433
Cleveland, OH 44128-4821

Mailing address

4361 Clarkwood Pkwy
Apt 433
Cleveland, OH 44128-4821
Phone (216) 702-4232

Other identifiers 1

IdentifierTypeStateIssuer
2683985MedicaidOH

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

LicenseStateTypeSpecialty
PN107950OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1891977534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4361 CLARKWOOD PKWY",
            "address_2": "APT 433",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441284821",
            "telephone_number": "216-702-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4361 CLARKWOOD PKWY",
            "address_2": "APT 433",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441284821",
            "telephone_number": "216-702-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGBEE",
        "first_name": "TARA",
        "middle_name": "MARSHIA",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN107950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2683985",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.