Individual provider Active NPI

Tommy Tannehill

  • Independent Duty Corpsman
  • Fort Sam Houston, TX
National Provider Identifier
1922771625
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Practice address
2931 Harney Path
Fort Sam Houston, TX 78234-7674
Phone
(210) 221-1111
NPI assigned
Jul 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Primary

Addresses

Primary practice location

2931 Harney Path
Fort Sam Houston, TX 78234-7674

Mailing address

1424 Coffee Tree Dr
New Braunfels, TX 78130-5347
Phone (760) 704-9052

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tommy.l.tannehill.mil@mail.mil Health Information Exchange (HIE)

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": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1922771625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 COFFEE TREE DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305347",
            "telephone_number": "760-704-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 HARNEY PATH",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347674",
            "telephone_number": "210-221-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNEHILL",
        "first_name": "TOMMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tommy.l.tannehill.mil@mail.mil",
            "affiliation": "N",
            "endpointDescription": "Official military work email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "I am a special operations independent duty corpsman in the US Navy that works in patient care.",
            "address_1": "2931 Harney Path",
            "city": "Fort Sam Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782347674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.