Active NPI
Tara Wilson
- Skilled Nursing Facility
- Cincinnati, OH
National Provider Identifier
1962895698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 157760
- Legal business name
- TARA WILSON
- Practice address
- 1028 Lockman Ave
2
Cincinnati, OH 45238-4512 - Phone
- (513) 655-7275
- NPI assigned
- Mar 5, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tara Starr Wilson, LPN
- Title
- LPN
- Phone
- (513) 655-7275
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 157760 | OH | Primary |
Addresses
Primary practice location
1028 Lockman Ave
2
Cincinnati, OH 45238-4512
Mailing address
1028 Lockman Ave
2
Cincinnati, OH 45238-4512
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425513600000",
"number": "1962895698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 LOCKMAN AVE",
"address_2": "2",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452384512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 LOCKMAN AVE",
"address_2": "2",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452384512",
"telephone_number": "513-655-7275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TARA WILSON",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-05",
"last_updated": "2015-03-05",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "TARA",
"authorized_official_middle_name": "STARR",
"authorized_official_title_or_position": "LPN",
"authorized_official_telephone_number": "513-655-7275",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "157760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.