TSC Health Services, LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R135126 Issued in MD

Legal business name

TSC HEALTH SERVICES, LLC

Practice address

3247 Halcyon CT # a
Ellicott City, MD 21043-3379

Phone

(443) 759-0320

NPI assigned

Jun 6, 2013

Organization subpart

No

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

Authorized official

Name

Tyra Carter, CRNPNPI 1124012711

Title

Manager

Phone

(443) 759-0320

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyra Sharron Carter, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • Ellicott City, MD
  • NPI 1124012711
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1053759530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3247 HALCYON CT # A",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433379",
            "telephone_number": "443-759-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3247 HALCYON CT # A",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433379",
            "telephone_number": "443-759-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSC HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "TYRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "443-759-0320",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R135126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.