Erika Tavarez, CMF

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

License

C53846

Practice address

3028 Woodall St
El Paso, TX 79925-5521

Phone

(915) 540-5195

Fax

(915) 201-1318

NPI assigned

Jan 10, 2023

Last updated

Jan 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Interoperability endpoints

• Direct secure messaging: erika@prettyinpink.us

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medella Healthcare, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • El Paso, TX
  • NPI 1144865809
  NPD Authorized official
• Pretty in Pink Boutique, Inc.

  dba Pretty In Pink Mastectomy Boutique

  • Durable Medical Equipment & Medical Supplies
  • El Paso, TX
  • NPI 1902423684
  NPD Authorized official

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1275247546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 WOODALL ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255521",
            "telephone_number": "915-540-5195",
            "fax_number": "915-201-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 WOODALL ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255521",
            "telephone_number": "915-540-5195",
            "fax_number": "915-201-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAREZ",
        "first_name": "ERIKA",
        "credential": "CMF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": "C53846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE BOARD OF CERTIFICATION",
            "identifier": "C53846",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erika@prettyinpink.us",
            "affiliation": "N",
            "endpointDescription": "erika@prettyinpink.us",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "email",
            "address_1": "3028 Woodall St",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799255521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tash Medicalclinic LLC
• Tony D. Tate, LBSW
• Diane W. Tatem, L.P.C.
• Lauren Marie Tatina, DO
• Cristy Nicole Tavarez, MD
• Gerardo Tavarez
• Juan Manuel Taveras, M.D.
• Taylor-Made Mobile Health
• Andrew Dickson Taylor, D.M.D
• Angelia Taylor, FNP-C

• Mastectomy Fitter in El Paso, TX
• Providers in El Paso, TX by specialty
• Mastectomy Fitter in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.