Active NPI
Tammie Michelle Friedrichs, L.M.T.
- Specialist
- Cullman, AL
National Provider Identifier
1417045360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 459
- Practice address
- 104 4TH Ave NE
Cullman, AL 35055-1903 - Phone
- (256) 739-3578
- Fax
- (256) 739-3578
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 459 | AL | Primary |
Addresses
Primary practice location
104 4TH Ave NE
Cullman, AL 35055-1903
Mailing address
104 4TH Ave NE
Cullman, AL 35055-1903
Phone (256) 739-3578
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51043764 | Other | AL | BLUE CROSS BLUE SHIELD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 459 | AL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417045360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 4TH AVE NE",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350551903",
"telephone_number": "256-739-3578",
"fax_number": "256-739-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 4TH AVE NE",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350551903",
"telephone_number": "256-739-3578",
"fax_number": "256-739-3578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDRICHS",
"first_name": "TAMMIE",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "459",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51043764",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cullman, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.