Tiny Impressions LLC

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

Legal business name

TINY IMPRESSIONS LLC

Practice address

101 W Hawkins Pkwy Ste 2
Longview, TX 75605-1833

Phone

(903) 663-6800

NPI assigned

Dec 27, 2017

Organization subpart

No

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

Authorized official

Name

Loren Holley

Title

Vice President

Phone

(903) 663-6800

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1902312028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10162",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756080162",
            "telephone_number": "903-663-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W HAWKINS PKWY STE 2",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051833",
            "telephone_number": "903-663-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINY IMPRESSIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "903-663-6800"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cami Jo Tice-Harouff, DNP, APRN, FNP-C
• Elizabeth Ann Heeb Tidwell, M.D.
• Tiger EMS Inc
• Rudy Tijerina, DO
• Thomas L Tinsley, LPC
• Meliana Amazan Tiphete, APRN, FNP
• Timothy M Tobin, MD
• Renee Lynn Todd, LCSW
• Heather Lynn Tolar
• Latonya Toliver

• Sonography Radiologic Technologist in Longview, TX
• Providers in Longview, TX by specialty
• Sonography Radiologic Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.