Active NPI
Hallie Sarah Tannahill, PHD
- Clinical Psychologist
- Sheppard Air Force Base, TX
National Provider Identifier
1215683198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 00000000
- Practice address
- 527 Tuskegee Airman Ave
Sheppard Air Force Base, TX 76311 - Phone
- (940) 676-6075
- NPI assigned
- Mar 1, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 00000000 | VA | Primary |
Addresses
Primary practice location
527 Tuskegee Airman Ave
Sheppard Air Force Base, TX 76311
Mailing address
5204 Sunnybrook LN
Wichita Falls, TX 76310-3497
Phone (443) 668-6115
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000000 | VA | MD | Emergency Medical Services (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1215683198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5204 SUNNYBROOK LN",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763103497",
"telephone_number": "443-668-6115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 TUSKEGEE AIRMAN AVE",
"city": "SHEPPARD AIR FORCE BASE",
"state": "TX",
"postal_code": "76311",
"telephone_number": "940-676-6075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNAHILL",
"first_name": "HALLIE",
"middle_name": "SARAH",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-01",
"last_updated": "2024-02-13",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "00000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheppard Air Force Base, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.