TDT Medical LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

TDT MEDICAL LLC

Practice address

1801 N Carson St
Carson City, NV 89701-1216

Phone

(775) 882-1441

Fax

(775) 882-6844

NPI assigned

Oct 14, 2022

Last updated

Oct 14, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tobyn Derby-Talbot, CRNANPI 1568884922

Title

Owner

Phone

(949) 588-2190

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tobyn Derby-Talbot

  • Certified Registered Nurse Anesthetist
  • French Camp, CA
  • NPI 1568884922

  Nurse Anesthetist, Certified Registered, NV

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1275259939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HOLLAND STE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182568",
            "telephone_number": "949-588-2190",
            "fax_number": "949-588-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N CARSON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897011216",
            "telephone_number": "775-882-1441",
            "fax_number": "775-882-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDT MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "DERBY-TALBOT",
        "authorized_official_first_name": "TOBYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-588-2190",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geavon Taylor, CADC-I
• James Taylor Jr., RN
• Lauren Danielle Taylor, PA-C
• Sandra J Taylor, MD
• Jami Taylore
• Ted K Matuszewski MD Prof Corp
• Julie Tenner, MPH, RDN, CDCES
• Roy Terry
• Elle Teruya
• The Healing Space

• Certified Registered Nurse Anesthetist in Carson City, NV
• Providers in Carson City, NV by specialty
• Certified Registered Nurse Anesthetist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.