Monique Tillman, MS

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

68 Brickerton St
Columbus, MS 39701-3636

Phone

(662) 694-1225

NPI assigned

Aug 29, 2018

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1154803955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 WYMAN DR",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397734107",
            "telephone_number": "662-694-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 BRICKERTON ST",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397013636",
            "telephone_number": "662-694-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "MONIQUE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Thompson, RN-BC
• Theresa Thompson
• Abigail Sullivan Thornhill, CPNP - PC/AC
• Brandon Thornton, NURSE PRACTITIONER
• Jordan Tilley
• Sarah Tingle, FNP-C
• Trena Dewberry Tochtrop, PHARM D
• Tolley Valerie
• Tom McReynolds Anesthesia
• Tombigbee Anesthesia LLC

• Counselor in Columbus, MS
• Providers in Columbus, MS by specialty
• Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.