Tammy Jo Dayley
Individual provider Active NPI Technician/Technologist · Gooding, ID
NPI 1083117402 · NPPES record last updated Mar 12, 2018
Key facts
- NPI
- 1083117402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Technician/Technologist 156F00000X
- Practice address
- 267 N Canyon Dr
Gooding, ID 83330-5500 - Phone
- (208) 934-4446
- Fax
- (208) 934-4442
- NPI assigned
- Mar 12, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | Yes |
Addresses
Primary practice location
267 N Canyon Dr
Gooding, ID 83330-5500
Mailing address
267 N Canyon Dr
Gooding, ID 83330-5500
Phone (208) 934-4446
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1370131 | Other | ID | MEDICARE PART B |
Other providers in Gooding, ID
- Joshua D Cooke
- County of Gooding
- County of Gooding School Dist 231 Class a
- Dargreen Power Systems
- Jason Davis
- Mercedes Diaz
- Doyle Drury
- Dallin Brent Farnes
- Carolyn Elizabeth Felter
- Cooper John Field
All providers in Gooding, ID · Technician/Technologist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.