Organization Active NPI

Tamara T Woodson

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1184106924
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Aug 29, 2018

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.