TDM Medical Staffing Agency PLLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TDM MEDICAL STAFFING AGENCY PLLC

Practice address

2406 S 24TH Street
Ste 216
Phoenix, AZ 85034

Phone

(623) 521-8325

Fax

(623) 000-0000

NPI assigned

Apr 20, 2023

Organization subpart

No

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

Authorized official

Name

Trischella MooreNPI 1609706753

Title

Owner

Phone

(623) 521-8325

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trischella Moore

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1609706753
  NPD Authorized official

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1649967589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 S 238TH LN",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263609",
            "telephone_number": "623-521-8325",
            "fax_number": "623-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 S 24TH STREET",
            "address_2": "STE 216",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85034",
            "telephone_number": "623-521-8325",
            "fax_number": "623-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDM MEDICAL STAFFING AGENCY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TRISCHELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-521-8325"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.