Tabatha M Owens Addison

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

2100 Palomar Airport Rd
Suite 214
Carlsbad, CA 92011-4402

Phone

(858) 717-6565

NPI assigned

Dec 10, 2012

Last updated

Dec 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1437494937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 PALOMAR AIRPORT RD",
            "address_2": "SUITE 214",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114402",
            "telephone_number": "858-717-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PALOMAR AIRPORT RD",
            "address_2": "SUITE 214",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114402",
            "telephone_number": "858-717-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS ADDISON",
        "first_name": "TABATHA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.