Active NPI
Tamara T Woodson
- In Home Supportive Care Agency
- Saint Louis, MO
National Provider Identifier
1184106924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- TAMARA T WOODSON
- Practice address
- 6725 Raymond Ave
Saint Louis, MO 63133-1417 - Phone
- (314) 305-5406
- NPI assigned
- Aug 29, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamara T Woodson, CNA
- Title
- Cna
- Phone
- (314) 305-5406
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
6725 Raymond Ave
Saint Louis, MO 63133-1417
Mailing address
6725 Raymond Ave
Saint Louis, MO 63133-1417
Phone (314) 305-5406
Other names 1
- 3Miracles
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535500800000",
"number": "1184106924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6725 RAYMOND AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631331417",
"telephone_number": "314-305-5406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6725 RAYMOND AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631331417",
"telephone_number": "314-305-5406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAMARA T WOODSON",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-29",
"last_updated": "2018-08-29",
"status": "A",
"authorized_official_last_name": "WOODSON",
"authorized_official_first_name": "TAMARA",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CNA",
"authorized_official_telephone_number": "314-305-5406",
"authorized_official_credential": "CNA"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "3Miracles",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "3Miracles",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- 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.