Active NPI
Tahnee Brown
- Durable Medical Equipment & Medical Supplies
- Colleyville, TX
National Provider Identifier
1700419918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 1116 Glade Rd Ste 102
Colleyville, TX 76034-4227 - Phone
- (214) 477-3248
- NPI assigned
- Feb 16, 2020
- Last updated
- Dec 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | TX | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Counselor | 101Y00000X | TX | ||
| Counselor | 101Y00000X | |||
| Prosthetics Case Management | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1329456 | Other | TX | LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1329456 | TX | MD | Prosthetics Case Management |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tahnee Brown Hair Mama | Durable Medical Equipment & Medical Supplies | Current | 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.
-
dba The Hair Mama
- Durable Medical Equipment & Medical Supplies
- Colleyville, TX
- NPI 1528691730
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.