Tabitha Lynn Eggemeyer, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

193778 Issued in TX

Practice address

1100 S Coulter St
Amarillo, TX 79106-1836

Phone

(806) 468-9700

Fax

(806) 468-9771

NPI assigned

May 1, 2015

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1114304813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061836",
            "telephone_number": "806-468-9700",
            "fax_number": "806-468-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061836",
            "telephone_number": "806-468-9700",
            "fax_number": "806-468-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGEMEYER",
        "first_name": "TABITHA",
        "middle_name": "LYNN",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "193778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Dustin Edwards, CRNA
• Lisa Edwards, M. A., LPC
• Theresa Lynne Edwards, NP
• Timothy Edwards, M.S. LPC
• David Egerton, PHD
• Lindsey Eggleston, LPC
• Ehc Coulter Urgent Care LLC
• Eric C Ehle, D.O.
• Robert Ehle, D.C.
• Debra Ehly, PT

• Licensed Vocational Nurse in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.