Tamara Anderson

Key facts

NPI

1134585847

Entity type

Individual (NPI type 1)

Primary specialty

Peer Specialist 175T00000X

Practice address

109 S Willow St
Pauls Valley, OK 73075-3833

Phone

(405) 238-7311

Fax

(405) 238-3530

NPI assigned

Jan 11, 2016

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

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 11, 2016.

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1134585847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730750635",
            "telephone_number": "405-238-7311",
            "fax_number": "405-238-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S WILLOW ST",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730753833",
            "telephone_number": "405-238-7311",
            "fax_number": "405-238-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TAMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pauls Valley, OK

• Air Evac EMS, Inc.
• Air Evac EMS, Inc.
• Cathy Sue Alfred, DOCTOR OF PHARMACY
• Brian A Allee, D.O.
• Alternative Care Clinic, Inc.
• Andrew Thyen Mdpa
• Deana Kay Andrews, ARNP
• Brett Avery Baldwin, APRN
• Michaela Kathrine Barger, LPC CANDIDATE
• Bio-Medical Applications of Oklahoma, Inc.

All providers in Pauls Valley, OK · Peer Specialist in Oklahoma