Provider Demographics
NPI:1427937887
Name:TATE, TIERRA
Entity type:Individual
Prefix:
First Name:TIERRA
Middle Name:
Last Name:TATE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2906 NORTHVIEW BLVD APT 6
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44504-1206
Mailing Address - Country:US
Mailing Address - Phone:330-812-4351
Mailing Address - Fax:
Practice Address - Street 1:2906 NORTHVIEW BLVD APT 6
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44504-1206
Practice Address - Country:US
Practice Address - Phone:330-812-4351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health