Healthcare Provider Details

I. General information

NPI: 1295543270
Provider Name (Legal Business Name): TIYETTA JOINER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/23/2024
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7419 HAMILTON AVE
CINCINNATI OH
45231-4305
US

IV. Provider business mailing address

4646 LEADWELL LN
BLUE ASH OH
45242-7936
US

V. Phone/Fax

Practice location:
  • Phone: 513-377-6417
  • Fax:
Mailing address:
  • Phone: 513-377-6417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License NumberRP217207
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: