Individual provider Active NPI

Kristen Kelly Tamblyn, CPM, LM

  • Midwife
  • Austin, TX
National Provider Identifier
1194238840
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
99313 Issued in TX
Practice address
8310 Arboles Cir
Austin, TX 78737-9004
Phone
(303) 345-4024
NPI assigned
Nov 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 99313 TX Primary

Addresses

Primary practice location

8310 Arboles Cir
Austin, TX 78737-9004

Mailing address

8310 Arboles Cir
Austin, TX 78737-9004
Phone (303) 345-4024

Other practice location 1

3115 S 1st St Apt 101
Austin, TX 78704-6357
Phone (512) 710-9613

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

State licenses

LicenseStateTypeSpecialty
99313TXMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194238840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 ARBOLES CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787379004",
            "telephone_number": "303-345-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 ARBOLES CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787379004",
            "telephone_number": "303-345-4024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 S 1st St Apt 101",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787046357",
            "country_code": "US",
            "telephone_number": "512-710-9613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMBLYN",
        "first_name": "KRISTEN",
        "middle_name": "KELLY",
        "credential": "CPM, LM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.