Active NPI
Tamisha Renee Piper, PA C
- Physician Assistant
- Grapevine, TX
National Provider Identifier
1104919190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA04406
- Practice address
- 3801 William D Tate Ave Ste 840-a
Grapevine, TX 76051-8755 - Phone
- (214) 808-2975
- Fax
- (817) 310-0709
- NPI assigned
- Oct 2, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA04406 | TX | Primary |
Addresses
Primary practice location
3801 William D Tate Ave Ste 840-a
Grapevine, TX 76051-8755
Mailing address
3801 William D Tate Ave Ste 840-a
Grapevine, TX 76051-8755
Phone (214) 548-9307
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K0140934 | Other | TX | DPS |
| P00230864 | Other | MEDICARE RAILROAD |
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Past | Accepting new patients | |
| Physicians and Allied Health Professionals Group, PA | Past | 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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238025600000",
"number": "1104919190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 WILLIAM D TATE AVE STE 840-A",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518755",
"telephone_number": "214-548-9307",
"fax_number": "817-310-0709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 WILLIAM D TATE AVE STE 840-A",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518755",
"telephone_number": "214-808-2975",
"fax_number": "817-310-0709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPER",
"first_name": "TAMISHA",
"middle_name": "RENEE",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2009-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA04406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPS",
"identifier": "K0140934",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00230864",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.