Individual provider Active NPI

Tommy Taye

  • Respite Care
  • Tucson, AZ
National Provider Identifier
1497233837
Registry record updated Jul 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
BH5347 Issued in AZ
Practice address
9231 E Dolores St
Tucson, AZ 85730-2132
Phone
(520) 834-5821
NPI assigned
Jul 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X BH5347 AZ Primary

Addresses

Primary practice location

9231 E Dolores St
Tucson, AZ 85730-2132

Mailing address

9231 E Dolores St
Tucson, AZ 85730-2132

Other identifiers 1

IdentifierTypeStateIssuer
BH5347OtherAZAZ DEPT OF HEALTH SERVICES

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

LicenseStateTypeSpecialty
BH5347AZMDRespite Care

NPI Registry JSON

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

{
    "created_epoch": "1532736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532736000000",
    "number": "1497233837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9231 E DOLORES ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857302132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9231 E DOLORES ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857302132",
            "telephone_number": "520-834-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYE",
        "first_name": "TOMMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-28",
        "last_updated": "2018-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AZ",
            "license": "BH5347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DEPT OF HEALTH SERVICES",
            "identifier": "BH5347",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2018; 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.