Active NPI
Tahesha M Davis, HOME HEALTH AIDE
- Home Health Aide
- Columbus, OH
National Provider Identifier
1992234868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 0090716
- Practice address
- 2262 Dawnlight Ave
Columbus, OH 43211-1930 - Phone
- (616) 606-8461
- NPI assigned
- Jun 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 0090716 | OH | Primary |
Addresses
Primary practice location
2262 Dawnlight Ave
Columbus, OH 43211-1930
Mailing address
2262 Dawnlight Ave
Columbus, OH 43211-1930
Phone (616) 606-8461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0090716 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0090716 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1992234868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2262 DAWNLIGHT AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432111930",
"telephone_number": "616-606-8461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2262 DAWNLIGHT AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432111930",
"telephone_number": "616-606-8461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TAHESHA",
"middle_name": "M",
"credential": "HOME HEALTH AIDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-05",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "OH",
"license": "0090716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0090716",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.