Tamara Wells, BA, ECSE

Primary specialty

SpecialistTaxonomy code 174400000X

License

140173521 Issued in CA

Practice address

113 Presley Way Ste 9
Grass Valley, CA 95945-5847

Phone

(530) 264-6013

NPI assigned

Jan 6, 2012

Last updated

Jul 21, 2022By 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

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376813386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14618 TYLER FOOTE RD",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959599316",
            "telephone_number": "530-292-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 PRESLEY WAY STE 9",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455847",
            "telephone_number": "530-264-6013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 New Mohawk Rd",
            "address_purpose": "LOCATION",
            "city": "Nevada City",
            "state": "CA",
            "postal_code": "959593244",
            "country_code": "US",
            "telephone_number": "530-478-0900 x216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "TAMARA",
        "credential": "BA, ECSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "140173521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.