Tamika Lavonne Trammel

Primary specialty

DriverTaxonomy code 172A00000X

License

D07971529 Issued in AZ

Practice address

11211 N Black Canyon Hwy Ste 310
Phoenix, AZ 85029-4759

Phone

(602) 459-3224

NPI assigned

Apr 25, 2024

Last updated

Apr 25, 2024By 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

State licenses

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1336995885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 N BLACK CANYON HWY STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294759",
            "telephone_number": "602-459-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 N BLACK CANYON HWY STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294759",
            "telephone_number": "602-459-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAMMEL",
        "first_name": "TAMIKA",
        "middle_name": "LAVONNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "AZ",
            "license": "D07971529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Driver in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Driver in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.