Active NPI
Tessa Meck, RDH
- Dental Hygienist
- Barksdale Afb, LA
National Provider Identifier
1619697927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 11020
- Practice address
- 1067 Twining Dr
Barksdale Afb, LA 71110-2486 - Phone
- (318) 456-7155
- NPI assigned
- Aug 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 11020 | NC | Primary |
Addresses
Primary practice location
1067 Twining Dr
Barksdale Afb, LA 71110-2486
Mailing address
1067 Twining Dr
Barksdale Afb, LA 71110-2486
Phone (318) 456-7155
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tessa.t.meck.civ@health.mil |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11020 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1619697927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1067 TWINING DR",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "711102486",
"telephone_number": "318-456-7155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1067 TWINING DR",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "711102486",
"telephone_number": "318-456-7155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MECK",
"first_name": "TESSA",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-29",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NC",
"license": "11020",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tessa.t.meck.civ@health.mil",
"affiliation": "N",
"address_1": "1067 Twining Dr",
"city": "Barksdale AFB",
"state": "LA",
"country_code": "US",
"postal_code": "711102486",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Barksdale Afb, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.