Tammy Elizabeth Willey

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3876 Hawkins St NE
Albuquerque, NM 87109-4539

Phone

(505) 508-0865

NPI assigned

Feb 13, 2019

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

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1235695339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8921 PRINCESS JEANNE AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123939",
            "telephone_number": "505-250-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3876 HAWKINS ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094539",
            "telephone_number": "505-508-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEY",
        "first_name": "TAMMY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Ashley Willaby
• Kim Willard, PT
• Anthony Willert, LD, RD
• Kerri Holen Willert, RDH
• Fehrunissa M Willett, LPCC
• William a Harrison, MD, PC
• William C. Abbott, MD, PC
• William C. Gardner DDS PA
• William E Galbreth, DMD,PC
• William H. Fitzpatrick, DPM PC

• Behavior Technician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Behavior Technician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.