Individual provider Active NPI

Tammy Lashon Birdow-Deckard

  • Case Manager/Care Coordinator
  • Fort Worth, TX
National Provider Identifier
1770729642
Registry record updated Dec 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
500 Flowering Plum LN
Fort Worth, TX 76140-6557
Phone
(817) 293-8876
Fax
(817) 293-8876
NPI assigned
Dec 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

500 Flowering Plum LN
Fort Worth, TX 76140-6557

Mailing address

500 Flowering Plum LN
Fort Worth, TX 76140-6557
Phone (817) 293-8876

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

NPI Registry JSON

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

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230249600000",
    "number": "1770729642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FLOWERING PLUM LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761406557",
            "telephone_number": "817-293-8876",
            "fax_number": "817-293-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FLOWERING PLUM LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761406557",
            "telephone_number": "817-293-8876",
            "fax_number": "817-293-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDOW-DECKARD",
        "first_name": "TAMMY",
        "middle_name": "LASHON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-26",
        "last_updated": "2008-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; 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.