Tierney Botley, NP
Individual provider Active NPI Family Nurse Practitioner · Beaumont, TX
NPI 1144014150 · NPPES record last updated Apr 7, 2025
Key facts
- NPI
- 1144014150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1142531 (TX)
- Practice address
- 2830 Calder St
Beaumont, TX 77702-1809 - Phone
- (409) 892-7171
- NPI assigned
- Apr 7, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250715002011 | TX | Practitioner - Nurse Practitioner | 2062927486 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Physician Services of Texas, P.a. | Current |
Accepting new patients |
Locations
424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1142531 | TX | Yes |
Addresses
Primary practice location
2830 Calder St
Beaumont, TX 77702-1809
Mailing address
2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171
Other providers in Beaumont, TX
- John Walter Bordages Jr.
- Sara Bordages
- Melissa Michelle Bordelon
- Kinli Marie Borque
- Phillip Alan Bostwick
- Amber Kay Boudreaux
- Paula Boudreaux
- Lori Leigh Bougere
- Britney Boulard
- J Gardiner Bourque
All providers in Beaumont, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.