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Tianna S Roberts

Case Manager/Care Coordinator in Columbus, OH. Individual provider (NPI-1).

NPI number1366071763
StatusActive
Last updated in NPPESApr 7, 2020

Details

NPI
1366071763
Entity type
Individual (NPI-1)
Name
Tianna S Roberts
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 7, 2020
Certification date
Apr 7, 2020
Last updated
Apr 7, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1111 Mediterranean Ave
Columbus, OH 43229-2509

Phone 614-359-7586

Mailing address

1111 Mediterranean Ave
Columbus, OH 43229-2509

Phone 614-359-7586

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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