Tawanna Denise Timmons, CPT, MA

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

2156 Issued in FL

Practice address

1260 McDuff Ave S # 2
Jacksonville, FL 32205-8030

Phone

(904) 343-9618

Fax

(904) 467-8815

NPI assigned

Nov 10, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1457017956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 MCDUFF AVE S # 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322058030",
            "telephone_number": "904-343-9618",
            "fax_number": "904-467-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 MCDUFF AVE S # 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322058030",
            "telephone_number": "904-343-9618",
            "fax_number": "904-467-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMONS",
        "first_name": "TAWANNA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "CPT, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "FL",
            "license": "2156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tawannamedicalexams@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Legal Business Name",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1260 McDuff Ave S # 2",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322058030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexandria Timmer, MD
• Elizabeth Timmer, APRN
• Courtney Elizabeth Timmins, NP
• Danielle Timmon, RN
• Laura M Timmons, ARNP
• Cassandra Timo
• Melissa R Timonere, LD/N
• Timothy Bradberry DMD, PLLC (North Jacksonville Complete Dentistry)
• Timothy J Parker DMD PA
• Timothy L Wyatt MD PA

• Phlebotomy Technician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Phlebotomy Technician in Florida

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

Verify at the official NPI Registry.