Individual provider Active NPI

Tanesha Marie Richardson, CNP

  • Family Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1912588906
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028666 Issued in OH
Practice address
2244 Green Rd
Cleveland, OH 44121-1114
Phone
(216) 509-8580
NPI assigned
Apr 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0028666 OH Primary

Addresses

Primary practice location

2244 Green Rd
Cleveland, OH 44121-1114

Mailing address

2244 Green Rd
Cleveland, OH 44121-1114
Phone (216) 509-8580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723001982 OH Practitioner - Nurse Practitioner 5698178978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rajesh Agarwal MD, LLCGroup PAC ID 8224000153, 12 clinicians

Practice addresses (Care Compare)

20050 Harvard Ave
Suite 300
Warrensville Heights, OH 44122-6800
Phone (216) 751-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rajesh Agarwal MD, LLC CurrentSince Jul 26, 2021 Accepting new patients

Locations

20050 Harvard Ave
Ste 300
Warrensville Heights, OH 44122
Phone (216) 751-1212

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1912588906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 GREEN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441211114",
            "telephone_number": "216-509-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 GREEN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441211114",
            "telephone_number": "216-509-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "TANESHA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.