Edward Tillman, M.R.E.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

22165 US Highway 431
Guntersville, AL 35976-8994

Phone

(256) 582-4465

Fax

(256) 582-5339

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932210226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 LAKE VIEW LN NW",
            "city": "ARAB",
            "state": "AL",
            "postal_code": "350164552",
            "telephone_number": "256-931-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22165 US HIGHWAY 431",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359768994",
            "telephone_number": "256-582-4465",
            "fax_number": "256-582-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "EDWARD",
        "credential": "M.R.E.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lula E Thorpe, M.S.
• Kenneth Thrasher, B.S.
• Samuel Leon Thurman
• Matthew Paul Ticola, DMD
• Meadows P Tidmore, M.ED. MASTER OF ED.
• Sarah Beth Tinley, P.A.
• Melisa Marily Tomas-Jimenez
• Leah Wallace Trammell, PHARMD
• Samantha June Travis, RN
• Elizebeth Traweek

• Addiction (Substance Use Disorder) Counselor in Guntersville, AL
• Providers in Guntersville, AL by specialty
• Addiction (Substance Use Disorder) Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.