Active NPI
Tamika Lenea McNeal, NP-C
- Gerontology Nurse Practitioner
- Huber Heights, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN.CNP.024400
- Practice address
- 6980 Evergreen Cir
Huber Heights, OH 45424-3986 - Phone
- (937) 414-8788
- NPI assigned
- Mar 7, 2019
- Last updated
- Mar 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN.CNP.024400 | OH | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN.CNP.024400 | OH | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | APRN.CNP.024400 | OH |
Addresses
Primary practice location
6980 Evergreen Cir
Huber Heights, OH 45424-3986
Mailing address
6980 Evergreen Cir
Huber Heights, OH 45424-3986
Phone (937) 414-8788
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.024400 | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hospice of Dayton, Inc. | Current | Accepting new patients | |
| Crossroads Hospice of Dayton LLC | Current | Accepting new patients | |
| Pure Healthcare LLC | Current | Accepting new patients | |
| Wound Care Consultants LLC | Adult Health | Current | Accepting new patients |
Locations
23250 Chagrin Blvd
Ste 150
Beachwood, OH 44122
Phone (216) 402-0027
23250 Chagrin Blvd
Ste 450
Beachwood, OH 44122
Phone (216) 402-0027
2200 Miami Valley Dr
Dayton, OH 45459
Phone (937) 668-7873
7575 Paragon Rd
Dayton, OH 45459
Phone (937) 256-4490
8069 Washington Village Dr
Dayton, OH 45458
Phone (937) 312-3170
324 Wilmington Ave
Kettering, OH 45420
Phone (937) 256-4490
6789 Ridge Rd
Ste 305
Parma, OH 44129
Phone (440) 491-8334
Organizations & group practices 4
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Dayton, OH
- NPI 1619115045
-
- Community Based Hospice Care Agency
- Dayton, OH
- NPI 1346220142
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Dayton, OH
- NPI 1609583046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552435200000",
"number": "1972061083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6980 EVERGREEN CIR",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454243986",
"telephone_number": "937-414-8788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6980 EVERGREEN CIR",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454243986",
"telephone_number": "937-414-8788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEAL",
"first_name": "TAMIKA",
"middle_name": "LENEA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-07",
"last_updated": "2019-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "APRN.CNP.024400",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "APRN.CNP.024400",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OH",
"license": "APRN.CNP.024400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huber Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.