Cheryl Lynn Tisser, MS, ED EIS

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

2625 Anita Dr
Garland, TX 75041

Phone

(972) 926-2671

Fax

(972) 926-2679

NPI assigned

Oct 13, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Cheryl Lynn Cohen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Parents in Partnership Eci Program

  • Case Management Agency
  • Garland, TX
  • NPI 1912121724
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1013227941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 ANITA DRIVE",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75041",
            "telephone_number": "972-926-2671",
            "fax_number": "972-926-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 ANITA DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75041",
            "telephone_number": "972-926-2671",
            "fax_number": "972-926-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISSER",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS, ED EIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "COHEN",
            "middle_name": "LYNN",
            "credential": "MS ED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Developmental Therapist in Garland, TX
• Providers in Garland, TX by specialty
• Developmental Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.