Tamera Sue Bird
Individual provider Active NPI Nurse's Aide · Tullahoma, TN
NPI 1831229400 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831229400
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- 615 Wilson Ave
Tullahoma, TN 37388-3264 - Phone
- (931) 455-9369
- Fax
- (931) 455-4827
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Yes |
Addresses
Primary practice location
615 Wilson Ave
Tullahoma, TN 37388-3264
Mailing address
513 Timberlane Ave
Tullahoma, TN 37388-4139
Phone (931) 455-9369
Other names
- Miss Tamera Sue Rolling
Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.