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TIERA LAKES
NPI 1902316391
Licensed Practical Nurse in Dayton, OH

Active since October 11, 2017
600 WAYNE AVE, DAYTON, OH 45410(937) 496-2000 Get Directions Write a Review

NPPES record last updated: October 11, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tiera Lakes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIERA LAKES (NPI 1902316391) is an individual licensed practical nurse in Dayton, Ohio, licensed in Ohio (LPN.165421.MEDS-IV) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1902316391
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTIERA LAKES
Location Address600 WAYNE AVEDayton, OH 45410-1122
Mailing Address600 Wayne AveDayton, OH 45410-1122
Phone(937) 496-2000
Sole ProprietorYes
Enumeration DateOctober 11, 2017
✔ NPI 1902316391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · LPN.165421.MEDS-IV
Definition
A licensed practical nurse 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.
600 WAYNE AVE, Dayton, OH 45410
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LETICIA NICOLE DRANE
Case Manager/Care Coordinator
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 496-2000
MARGARET H. HUGHES LSW
Social Worker
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 396-2535
AMANDA PETTIT
Community/Behavioral Health
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 496-2000
ROBERT JACKSON
Behavior Technician
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 496-2000
EASTWAY CORPORATION
Community/Behavioral Health
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 496-2000
AISHA AJULON SMITH BACHELO OF SCIENCE
Community/Behavioral Health
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 496-2000
SHAL'AMAR COOK
Licensed Practical Nurse
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 496-2000
TAMIKA DANIELLE MORRISON
Community/Behavioral Health
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 496-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiera Lakes's NPI number?

The NPI number for Tiera Lakes is 1902316391. It was assigned to this individual provider in the NPPES registry on October 11, 2017.

Where is Tiera Lakes located?

Tiera Lakes practices at 600 Wayne Ave, Dayton, OH 45410. The listed phone number is (937) 496-2000.

What is Tiera Lakes's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tiera Lakes was last updated on October 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.