Tawana Glenice Middleton-Trimm

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

7901 NE 10TH St
Midwest City, OK 73110-3600

Phone

(843) 437-7172

NPI assigned

Dec 17, 2019

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

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": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1043858491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 N MEADOWVIEW WAY",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730642740",
            "telephone_number": "843-437-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 NE 10TH ST",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731103600",
            "telephone_number": "843-437-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON-TRIMM",
        "first_name": "TAWANA",
        "middle_name": "GLENICE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid-del Group Home, Inc.
• Mid-del Pain Management P.C.
• Mid-del Schools
• Mid-del Vision Source, PLLC (Vision Source Midwest City)
• Mid-del Youth and Family Center
• Midway Medical Clinic
• Midwest City Dentistry and Braces
• Midwest City Eye Care Associates PLLC
• Midwest City Healthcare Residence Operator LLC (Midwest City Healthcare Residence)
• Midwest City Heart Center, PLLC

• Case Manager/Care Coordinator in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.