Tamara Grace Peavy

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

650870 Issued in TX

Practice address

218 Del Monte Dr
Cibolo, TX 78108-3290

Phone

(210) 765-6480

NPI assigned

Jul 13, 2021

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1194397752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 DEL MONTE DR",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083290",
            "telephone_number": "210-765-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 DEL MONTE DR",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083290",
            "telephone_number": "210-765-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAVY",
        "first_name": "TAMARA",
        "middle_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "650870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Park, DC
• Niraj Kumar Patel, DDS
• Dannette Patterson, LPC
• Peak Dental Cibolo
• Peak Performance & Functional Chiropractic LLC
• Alex Pelayo
• Gayle Marie Peterson, CRNA
• Jeffrey Scott Pittman, NP
• Deevona Michelle Preyer, RN
• Pure Health and Wellness, L.L.C.

• Home Health Registered Nurse in Cibolo, TX
• Providers in Cibolo, TX by specialty
• Home Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.