Tammy Sue Edwards

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

628 E Creek Ave
McAlester, OK 74501-6930

Phone

(918) 421-3500

NPI assigned

Apr 8, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Ki Bois Community Action Foundation

  • Counselor
  • McAlester, OK
  • NPI 1093145914
  NPD (past)

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1609456227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1404",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745021404",
            "telephone_number": "918-421-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 E CREEK AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745016930",
            "telephone_number": "918-421-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "TAMMY",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "McAlester",
            "affiliation": "N",
            "address_1": "628 E Creek Ave",
            "city": "McAlester",
            "state": "OK",
            "country_code": "US",
            "postal_code": "745016930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eaglemed LLC
• Heather J Earley, MS
• Tamrah Earls
• Jill Eddings, COTA/L
• Carolyn S Edwards, O.D.
• Vinessa Deann Edwards, BA
• Ashley Elizabeth Elledge, PAC
• Kelsey Eller
• Patricia Dearing Ellington
• Mariah Kaydee Elliott

• Peer Specialist in McAlester, OK
• Providers in McAlester, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.