Active NPI
Tywaska Ewin
- Contractor
- Antioch, TN
National Provider Identifier
1023722709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 166 Delvin Dr
Antioch, TN 37013-4032 - Phone
- (615) 310-0008
- NPI assigned
- Jan 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
166 Delvin Dr
Antioch, TN 37013-4032
Mailing address
166 Delvin Dr
Antioch, TN 37013-4032
Phone (615) 310-0008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Other | TN | N/A |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ovcare Medical Transport LLC | Current | Accepting new patients | |
| Pure Transport LLC | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Non-emergency Medical Transport (VAN)
- Antioch, TN
- NPI 1821922725
-
- Non-emergency Medical Transport (VAN)
- Antioch, TN
- NPI 1861190324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1023722709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 DELVIN DR",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370134032",
"telephone_number": "615-310-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 DELVIN DR",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370134032",
"telephone_number": "615-310-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWIN",
"first_name": "TYWASKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "000000000",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"endpointDescription": "N/A",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "N/A",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/A",
"address_1": "166 Delvin Dr",
"city": "Antioch",
"state": "TN",
"country_code": "US",
"postal_code": "370134032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Antioch, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.