Tamblyn Louise Bourn

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

11046 168TH St
Jamaica, NY 11433-3420

Phone

(347) 200-0957

NPI assigned

Oct 18, 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

Other names 1

• Bourn Educator Professional name

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": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1245993294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11046 168TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114333420",
            "telephone_number": "347-200-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11046 168TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114333420",
            "telephone_number": "347-200-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURN",
        "first_name": "TAMBLYN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOURN",
            "last_name": "EDUCATOR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Abram Borukh
• Yakubmier Borukhov, DDS
• Raumo Borukhova, OTA
• Adeline Laure Boujeke Tchomte
• Boulevard Operating Inc
• Cheryl Bourne, CRC
• Celene D Bouyer
• Daniella Salnave Bouzi, NP
• Rosanna Bove
• Kirt Bowen, PA

• Specialist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.