Sandra Kay Tallbear

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

592364 Issued in TX

Practice address

705 Belmont Dr
Georgetown, TX 78626-6311

Phone

(512) 863-0707

NPI assigned

Oct 24, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Sandra Kay Stine Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• The Natural Birthing Center, LLC

  • Birthing Clinic/Center
  • Round Rock, TX
  • NPI 1245758507
  NPD (past) Authorized official

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

{
    "created_epoch": "1287878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384128000000",
    "number": "1659671741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BELMONT DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266311",
            "telephone_number": "512-863-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BELMONT DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266311",
            "telephone_number": "512-863-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLBEAR",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-24",
        "last_updated": "2013-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "592364",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "592364",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "407016   968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "STINE",
            "middle_name": "KAY",
            "prefix": "MRS.",
            "credential": "NURSE MIDWIFE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Swisher, MBA, IBCLC
• Laura Anita Sylva, LCSW
• Nicole Jane Tableriou, LPC, LCDC
• Brandy Marie Tabor, RDH
• Jennifer Shifley Tajchman, M.D.
• Vanessa Luong Tang
• Justin Tanton
• Joe W. Tate, PHARM D , RPH
• Patricia Anne Tate
• Ann Cecilia Taylor, BCBA

• Advanced Practice Midwife in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Advanced Practice Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; 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.