TEQUILA HARRIS (NPI# 1790263317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790263317 |
| Entity Type | Individual |
| Full Name | TEQUILA HARRIS |
| Practice Address |
16101 Rockside Rd Maple Heights OH 44137-3960 |
| Practice Telephone | 2162466008 |
| Mailing Telephone | 2162466008 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 142854 | OH | Nursing Service Providers |
| Street Address |
16101 ROCKSIDE RD |
| City | MAPLE HEIGHTS |
| State | OH |
| Zip Code | 44137-3960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831662 | Brenda Eafford | Social Worker | 5101 Joseph Street, Maple Heights, OH 44137 | 2020-05-05 |
| 1952826679 | Heather Mosier | Licensed Practical Nurse | 14219 Tokay Ave, Maple Heights, OH 44137 | 2017-08-03 |
| 1467972372 | Allure Homecare LLC | Home Health | 16360 Broadway Avenue, Maple Heights, OH 44137 | 2017-06-21 |
| 1679002661 | Renee D Paige | Home Health Aide | 14701 Grangre Rd, Maple Heights, OH 44137 | 2017-06-05 |
| 1437504297 | Riser Supportive Service | Community/Behavioral Health | 19312 Milan Drive, Maple Hts, OH 44137 | 2016-04-29 |
| 1104232545 | Chudney Walker | Massage Therapist | 18400 Dalewood Ave, Maple Heights, OH 44137 | 2014-07-07 |
| 1760802169 | Home Health Aides of Ohio, LLC | Home Health Aide | 5249 Warrensville Center Road, Maple Heights, OH 44137 | 2014-04-24 |
| 1205170024 | Angel Regina Taylor | Nurse's Aide | 5159 Thomas Street, Maple Hts, OH 44137 | 2012-11-16 |
| 1639445984 | Kimberly Mcallister | Registered Nurse | 20607 Gardenview Drive, Maple Heights, OH 44137 | 2012-03-30 |
| 1245548312 | Alena Roberts Benton | Home Health | 20670 Southgate Park Blvd, Maple Hts., OH 44137 | 2010-09-22 |
| Find all providers in zip 44137 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124630629 | Breona Prince | Licensed Practical Nurse | 16970 Libby Rd, Maple Heights, OH 44137-1310 | 2020-08-18 |
| 1437760048 | Erica Heard | Licensed Practical Nurse | 5045 Philip Ave, Maple Heights, OH 44137-1443 | 2020-08-17 |
| 1285298802 | Shadaiya Howard | Licensed Practical Nurse | 5100 Catherine St, Maple Heights, OH 44137-1404 | 2019-04-29 |
| 1083188155 | Leeshon Scott | Licensed Practical Nurse | 14901 Turney Rd Apt 202, Maple Heights, OH 44137-4756 | 2019-01-11 |
| 1528531118 | Latonya Sanders | Licensed Practical Nurse | 18513 Libby Rd, Maple Heights, OH 44137-1500 | 2019-01-07 |
| 1770059164 | Kanika Jamila Braxton | Licensed Practical Nurse | 18312 Hazelwood Ave, Maple Heights, OH 44137-3533 | 2018-10-23 |
| 1821576265 | Adebayo Kareem Akinbode | Licensed Practical Nurse | 14300 Rockside Rd, Maple Heights, OH 44137-4008 | 2018-07-28 |
| 1578067575 | Lakeisha Taylor | Licensed Practical Nurse | 18300 Mapleboro Ave, Maple Heights, OH 44137-2768 | 2018-03-23 |
| 1760907216 | Angela Wright | Licensed Practical Nurse | 19700 Libby Rd, Maple Heights, OH 44137-2357 | 2017-08-06 |
| 1952826679 | Heather Mosier | Licensed Practical Nurse | 14219 Tokay Ave, Maple Heights, OH 44137 | 2017-08-03 |
| Find all providers in MAPLE HEIGHTS | ||||
| City | MAPLE HEIGHTS |
| Zip Code | 44137 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.