Active NPI
Tyanna M Holland, LMSW
- Social Worker
- El Paso, TX
National Provider Identifier
1417613175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 63405
- Practice address
- 8730 Boeing Dr
El Paso, TX 79925-1228 - Phone
- (915) 599-6645
- NPI assigned
- Nov 16, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 63405 | TX | Primary |
Addresses
Primary practice location
8730 Boeing Dr
El Paso, TX 79925-1228
Mailing address
201 E Main Dr Ste 600
El Paso, TX 79901-1385
Phone (915) 887-3410
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 |
|---|---|---|---|
| 63405 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1417613175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E MAIN DR STE 600",
"city": "EL PASO",
"state": "TX",
"postal_code": "799011385",
"telephone_number": "915-887-3410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8730 BOEING DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799251228",
"telephone_number": "915-599-6645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "TYANNA",
"middle_name": "M",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-16",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "63405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.