Tammy Mische

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

2014022770 Issued in MO

Practice address

408 Jungermann Rd
Saint Peters, MO 63376-2799

Phone

(636) 449-5757

NPI assigned

Feb 2, 2023

Last updated

Feb 2, 2023By 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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Your Diabetes Partners, LLC

  • Diabetes Educator Registered Nurse
  • Saint Peters, MO
  • NPI 1699475707
  NPD Authorized official
• Wellness 4 Prevention, LLC

  • Registered Dietitian
  • Lee's Summit, MO
  • NPI 1013625649
  NPD

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1467158253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 SAINT ALBANS RD # 106",
            "city": "SAINT ALBANS",
            "state": "MO",
            "postal_code": "630731237",
            "telephone_number": "636-262-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 JUNGERMANN RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762799",
            "telephone_number": "636-449-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISCHE",
        "first_name": "TAMMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MO",
            "license": "2014022770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Mills
• Paul B Mills, M.D.
• Minahan Family Enterprises,Inc. (BrightStar Healthcare)
• Kevin T. Minnihan, M.D.
• Dion Gregory Miranda, D.O.
• Michael A Missler, D.O.
• Missouri Center for Oral Surgery and Implants LLC (First Capitol Oral and Maxillofacial Surgery)
• Missouri CVS Pharmacy LLC (CVS Pharmacy# 10418)
• Missouri CVS Pharmacy LLC (CVS Pharmacy #18018)
• Missouri CVS Pharmacy LLC (CVS Pharmacy #16420)

• Diabetes Educator Registered Nurse in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Diabetes Educator Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.