Individual provider · NPI-1

Tara Shawnee Martin

Peer Specialist · Streetsboro, OH

NPI number1376464693
StatusActive
Last updated in NPPESJul 22, 2026

Details

NPI
1376464693
Entity type
Individual (NPI-1)
Name
Mrs. Tara Shawnee Martin
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 22, 2026
Certification date
Jul 22, 2026
Last updated
Jul 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist–OHYes

Practice location

1517 Duncan Way
Streetsboro, OH 44241-4232

Phone 757-329-8593

Mailing address

1517 Duncan Way
Streetsboro, OH 44241-4232

Phone 757-329-8593

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.

Other Peer Specialist providers in Streetsboro, OH