Individual provider Active NPI

Tahnee Brown

  • Durable Medical Equipment & Medical Supplies
  • Colleyville, TX
National Provider Identifier
1700419918
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
1116 Glade Rd Ste 102
Colleyville, TX 76034-4227
Phone
(214) 477-3248
NPI assigned
Feb 16, 2020
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 374700000X TX
Durable Medical Equipment & Medical Supplies 332B00000X Primary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X TX
Counselor 101Y00000X
Prosthetics Case ManagementGroup: 193200000X MULTI-SPECIALTY GROUP 1744P3200X 1329456 TX

Addresses

Primary practice location

1116 Glade Rd Ste 102
Colleyville, TX 76034-4227

Mailing address

4412 Lafite LN
Colleyville, TX 76034-1477
Phone (682) 299-0020

Other identifiers 1

IdentifierTypeStateIssuer
1329456OtherTXLICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.thehairmama.com Direct

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

LicenseStateTypeSpecialty
1329456TXMDProsthetics Case Management

Practice roles

OrganizationSpecialtyStatusNew patients
Tahnee Brown Hair Mama Durable Medical Equipment & Medical Supplies CurrentSince Feb 23, 2020 Accepting new patients

Locations

1116 Glade Rd
Ste 102
Colleyville, TX 76034
Phone (214) 477-3248

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1581811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1700419918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 LAFITE LN",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760341477",
            "telephone_number": "682-299-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 GLADE RD STE 102",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760344227",
            "telephone_number": "214-477-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TAHNEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-16",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "TX",
            "license": "1329456",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1329456",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.thehairmama.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1116 Glade Rd Ste 102",
            "city": "Colleyville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760344227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.