Tamra Sue Nettles, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

850 E Foothill Blvd
Rialto, CA 92376-5230

Phone

(909) 421-4633

NPI assigned

Apr 3, 2014

Last updated

Mar 8, 2016By the provider in NPPES

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

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": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1336567528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193",
            "city": "CALIMESA",
            "state": "CA",
            "postal_code": "923200193",
            "telephone_number": "909-557-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E FOOTHILL BLVD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765230",
            "telephone_number": "909-421-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETTLES",
        "first_name": "TAMRA",
        "middle_name": "SUE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Navarro
• Neighborhood Healthcare (Neighborhood Healthcare Rialto)
• Jared Michael Nelson, D.O.
• Maja Nelson, PSYCHIATRIC TECH
• Neonatology Medical Group Inc (Rialto Pediatrics)
• Jeremy James Neuner
• Never Stop Grinding Impact
• New Hope Physician Home Care Services Inc.
• Paulette Marie Newman, D.D.S.
• David Anthony Newsham, D.D.S.

• Mental Health Counselor in Rialto, CA
• Providers in Rialto, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.