Tina Mone Patterson, COSMETOLOGIST

Primary specialty

SpecialistTaxonomy code 174400000X

License

1792338 Issued in TX

Practice address

8501 Old Hickory TRL Apt 2106
Dallas, TX 75237-3821

Phone

(254) 531-1057

NPI assigned

Dec 31, 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

Other identifiers 1

Electronic endpoints 1

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": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1275172827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 SAN JUAN DR",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163921",
            "telephone_number": "254-531-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 OLD HICKORY TRL APT 2106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373821",
            "telephone_number": "254-531-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "TINA",
        "middle_name": "MONE",
        "credential": "COSMETOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1792338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF LICENSING AND REGULATION",
            "identifier": "1792338",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "greertina@att.net",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Exact",
            "address_1": "8501 Old Hickory Trl Apt 2106",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752373821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meaghan Patterson, OT
• Pamela Patterson
• Qiana Patterson
• Stephanie Patterson, OTR
• Taylor Patterson
• Tricia Patterson, LPC
• Marie Antoinette Patti, RD
• Matthew Taylor Pattillo, MD
• Nakita Pattillo
• Erin Elizabeth Patton

• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.