Individual provider Active NPI

Tamra Jean Quade, D.C.

  • Chiropractor
  • Ypsilanti, MI
National Provider Identifier
1396743340
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TQ008254 Issued in MI
Practice address
7793 Paint Creek Dr
Ypsilanti, MI 48197-6135
Phone
(734) 502-9765
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X TQ008254 MI Primary

Addresses

Primary practice location

7793 Paint Creek Dr
Ypsilanti, MI 48197-6135

Mailing address

7793 Paint Creek Dr
Ypsilanti, MI 48197-6135
Phone (734) 502-9765

Other identifiers 1

IdentifierTypeStateIssuer
136990OtherMICARE CHOICES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TQ008254MIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1396743340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7793 PAINT CREEK DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976135",
            "telephone_number": "734-502-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7793 PAINT CREEK DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976135",
            "telephone_number": "734-502-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUADE",
        "first_name": "TAMRA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "TQ008254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "136990",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.