Active NPI
Tiara Edwards
- Case Manager/Care Coordinator
- Casper, WY
National Provider Identifier
1184329922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 5830 E 2ND St Ste 8
Casper, WY 82609-4308 - Phone
- (818) 724-9517
- NPI assigned
- Apr 3, 2023
- Last updated
- Apr 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | CA | ||
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
5830 E 2ND St Ste 8
Casper, WY 82609-4308
Mailing address
7800 Topanga Canyon Blvd Apt 101
Canoga Park, CA 91304-5554
Phone (323) 404-5212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Counselor
- Chicago, IL
- NPI 1710861471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1184329922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 TOPANGA CANYON BLVD APT 101",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913045554",
"telephone_number": "323-404-5212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5830 E 2ND ST STE 8",
"city": "CASPER",
"state": "WY",
"postal_code": "826094308",
"telephone_number": "818-724-9517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "TIARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-03",
"last_updated": "2023-04-03",
"certification_date": "2023-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
- Chelsea Eddington, PA-C
- Luke Donald Eddington, DC, MS
- Bruce Nels Eddy, DDS
- Diane R Edwards, MD
- Nathan Darrell Edwards, O.D.
- Eh Health Home Health of the Northwest, LLC (Enhabit Home Health)
- Eh Hospice of the West, LLC (Enhabit Hospice)
- Jacob Ehlert, PA
- Melissa R Eichenberger
- Lindsey Ann Eidsness, APRN, DNP, PHMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.