Jennifer Tarin Heredia

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

4340 Pekrul Cir
Odessa, TX 79766

Phone

(432) 770-8732

NPI assigned

Jan 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1023526100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 PEKRUL CIR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 PEKRUL CIR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79766",
            "telephone_number": "432-770-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARIN HEREDIA",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talya Tennelle Mintz, DDS, P.a. (Affordable Dentures & Implants - Odessa)
• Aanchal Tamrakar, M.D.
• Jannie Tang, M.D.
• Tanya Manriquez Lujan M.S., CCC-SLP, PLLC (West Texas Speech Therapy)
• David Tarabocchia, CRNA
• Hina Tariq, MD
• Christina Selene Tate, LVN
• Lisa Tatom, LMT
• Bobby Neil Taylor I, D.D.S
• Brendyn Taylor, DO

• In Home Supportive Care Agency in Odessa, TX
• Providers in Odessa, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.