Tamika Camillia Pugh

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CNA159911 Issued in FL

Practice address

3915 W Mallory St
Pensacola, FL 32505-6141

Phone

(850) 696-8986

NPI assigned

Jan 26, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

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": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1346607041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 W MALLORY ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325056141",
            "telephone_number": "850-696-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 W MALLORY ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325056141",
            "telephone_number": "850-696-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "TAMIKA",
        "middle_name": "CAMILLIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "234252",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "CNA159911",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "234252",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA159911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Puckett, PTA
• Andrea Puente, APRN, FNP-C
• Eduardo Puente, MD
• Jairo Puente, M.D.
• Jakayla Pugh
• Edin Pujagic, D.O.
• Christine Bevrotte Pujol, MCD, CCC-SLP
• Corey Pulford
• Thomas M Pulling, M.D.
• Hayley Pullum

• Nurse's Aide in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.