Individual provider Active NPI

Tessa Damaris Edwards

  • Behavior Technician
  • Schertz, TX
National Provider Identifier
1588423321
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
133 Windy Meadows Dr Ste 101
Schertz, TX 78154-1543
Phone
(210) 447-0039
NPI assigned
Mar 14, 2024
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

133 Windy Meadows Dr Ste 101
Schertz, TX 78154-1543

Mailing address

7811 Forest Briar
Live Oak, TX 78233-4311

Other practice location 1

6222 W Ih 10 Ste 104
San Antonio, TX 78201-2013
Phone (210) 447-0039

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tori@empowerbh.com

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

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1588423321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 FOREST BRIAR",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782334311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 WINDY MEADOWS DR STE 101",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541543",
            "telephone_number": "210-447-0039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6222 W Ih 10 Ste 104",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782012013",
            "country_code": "US",
            "telephone_number": "210-447-0039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "TESSA",
        "middle_name": "DAMARIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tori@empowerbh.com",
            "affiliation": "N",
            "address_1": "133 Windy Meadows Dr Ste 101",
            "city": "Schertz",
            "state": "TX",
            "country_code": "US",
            "postal_code": "781541543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.