Active NPI
Nancy Tiday
- Pediatrics Physician
- El Paso, TX
National Provider Identifier
1275374035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- BP10090555
- Practice address
- 5001 El Paso Drive
MSC 41023
El Paso, TX 79905 - Phone
- (915) 215-4680
- NPI assigned
- Jun 5, 2024
- Last updated
- Jun 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BP10090555 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | TX |
Addresses
Primary practice location
5001 El Paso Drive
MSC 41023
El Paso, TX 79905
Mailing address
5001 El Paso Drive
MSC 41023
El Paso, TX 79905
Phone (915) 215-4680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10090555 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1275374035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 EL PASO DRIVE",
"address_2": "MSC 41023",
"city": "EL PASO",
"state": "TX",
"postal_code": "79905",
"telephone_number": "915-215-4680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 EL PASO DRIVE",
"address_2": "MSC 41023",
"city": "EL PASO",
"state": "TX",
"postal_code": "79905",
"telephone_number": "915-215-4680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIDAY",
"first_name": "NANCY",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-05",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "BP10090555",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.