Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1295551448 Deactivated / Inactive NPI Female Practitioner

Nichole Tyna

Case Manager/Care Coordinator • Independence, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Nichole Tyna has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 03, 2024
NPI Deactivation Date January 01, 2026
Total Practice Duration ~2 Years of Practice (2024 – 2026)

Professional Overview & Biography Verified Profile Summary

Nichole Tyna was a registered Case Manager/Care Coordinator practicing in Independence, OH. Throughout an active medical career spanning 2 years, Nichole Tyna provided care at the practice location at 6161 OAK TREE BLVD STE 400 until profile deactivation on 2026-01-01.

Practice Location & Contact Primary Location

Practice Address

6161 Oak Tree Blvd Ste 400

Independence, OH 441312581

Telephone 2165888777
Associated Practice Facility / Clinic
🏢 Koinonia Homes, Inc. Facility NPI 1972665149

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Independence, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
132 Specialists

Practicing in Independence, OH (35490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
David Bound , BA

Case Manager/Care Coordinator

NPI 1134990245

Bachelor of Arts

Dominique James

Case Manager/Care Coordinator

NPI 1164237293
Stacey Wolfe

Registered Nurse

NPI 1265296438
Elnora Poston

Case Manager/Care Coordinator

NPI 1427879485
Michele Hill

Case Manager/Care Coordinator

NPI 1437043163
Anala Valenzuela

Case Manager/Care Coordinator

NPI 1508658253

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 01, 2026

Record deactivated on January 01, 2026

NPI Profile Active December 03, 2024

NPI status registered as active in NPPES database

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Updated Practice Location December 03, 2024

Registered at 6161 OAK TREE BLVD STE 400, INDEPENDENCE, OH 441312581 (Tel: 2165888777)

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Updated Business Mailing Address December 03, 2024

Registered at 445 E DUBLIN GRANVILLE RD, WORTHINGTON, OH 430853192 (Tel: 6148443800)

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Provider Name / Credentials Updated December 03, 2024

Recorded as NICHOLE TYNA

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2024

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration December 03, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295551448
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2024
Last Update: December 03, 2024
Deactivation Date: January 01, 2026

Mailing Address

445 E Dublin Granville Rd

Worthington, OH 430853192

Phone: 6148443800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.