MEDICARE: SHAUNTERRIA CLARK-TAMPLIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker
2	385H00000X	Respite Care

General Provider Information

NPI Number	:	1033896535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAUNTERRIA CLARK-TAMPLIN

Provider Business Mailing Address
First Line	:	943 WELLS ST # 2
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45205-1826
Country	:	US
Telephone Number	:	513-815-0163
Fax Number	:

Provider Business Practice Location Address
First Line	:	943 WELLS ST # 2
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45205-1826
Country	:	US
Telephone Number	:	513-815-0163
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2023
Last Update Date	:	03/11/2026

Similar Medicare Providers

1902743313 — MR. MICHAEL ANTONIO WILLIAMS JR.
Practice Location Address:

4232 CHAMBERS ST
CINCINNATI, OH
45223-1826

Practice Phone: 513-344-5226
Practice Fax:

1285188284 — ALYSSA TATUM
Practice Location Address:

1826 FAIRFAX AVE APT 1
CINCINNATI, OH
45207

Practice Phone: 937-760-0289
Practice Fax:

1609474535 — CUSTOM CE LLC
Practice Location Address:

4224 CHAMBERS ST
CINCINNATI, OH
45223-1826

Practice Phone: 513-331-3071
Practice Fax:

1043971260 — DERRIK A STROTHER I
Practice Location Address:

2457 FULBOURNE DR
CINCINNATI, OH
45231-1826

Practice Phone: 151-381-5704
Practice Fax:

1346972114 — ROSE L MOORE
Practice Location Address:

920 SMILEY AVE
CINCINNATI, OH
45240-1826

Practice Phone: 513-913-3495
Practice Fax:

1609583863 — DARLENE BROWN
Practice Location Address:

1826 LINCREST DR
CINCINNATI, OH
45240-2008

Practice Phone: 513-283-4139
Practice Fax:

Directions to “ SHAUNTERRIA CLARK-TAMPLIN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.