Organization Active NPI

Tessa Skeens

  • Home Health Agency
  • Dayton, OH
National Provider Identifier
1962847236
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
3651899 Issued in OH
Legal business name
TESSA SKEENS
Practice address
1914 Palisades Dr
Dayton, OH 45414
Phone
(937) 287-8460
NPI assigned
May 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Tessa Patricia Skeens
Title
Nursing Assistant
Phone
(937) 287-8460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 3651899 OH Primary

Addresses

Primary practice location

1914 Palisades Dr
Dayton, OH 45414

Mailing address

1914 Palisades Dr
Dayton, OH 45414
Phone (937) 287-8460

Other identifiers 1

IdentifierTypeStateIssuer
5074212043-MA-J-01MedicaidOH

Other names 1

  • indepent provider Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1962847236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 PALISADES DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45414",
            "telephone_number": "937-287-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 PALISADES DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45414",
            "telephone_number": "937-287-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESSA SKEENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "SKEENS",
        "authorized_official_first_name": "TESSA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "NURSING ASSISTANT",
        "authorized_official_telephone_number": "937-287-8460"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "3651899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5074212043-MA-J-01",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "indepent provider",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.