Jamie Lynn Tantiwongse

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

168 Quarry Glenn Dr Apt 705
Weston, WV 26452-9690

Phone

(304) 838-0311

NPI assigned

Nov 12, 2024

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

• Jamie Lynn Dryer Former 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": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1295559680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "city": "HORNER",
            "state": "WV",
            "postal_code": "263720084",
            "telephone_number": "304-838-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 QUARRY GLENN DR APT 705",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264529690",
            "telephone_number": "304-838-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTIWONGSE",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "DRYER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Bonnell Strauss
• Taylor Stump
• Jaclyn K Swick, PA-C
• Andrea Lee Swisher
• Delilah Syrews
• Crytal Sue Taylor
• Jessica Lynn Tenney
• Wilma Teter
• Lesley Thomas
• Lori Thomas

• Early Intervention Provider Agency in Weston, WV
• Providers in Weston, WV by specialty
• Early Intervention Provider Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.