Active NPI
Taralyn Muddiman
- Registered Nurse
- San Antonio, TX
National Provider Identifier
1982176715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9379547
- Practice address
- 8610 N New Braunfels Ave Ste 405
San Antonio, TX 78217-6358 - Phone
- (210) 804-0193
- NPI assigned
- Dec 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 108733 | CT | |
| Registered Nurse | 163W00000X | RN153085 | LA | |
| Registered Nurse | 163W00000X | RN9379547 | FL | Primary |
Addresses
Primary practice location
8610 N New Braunfels Ave Ste 405
San Antonio, TX 78217-6358
Mailing address
8610 N New Braunfels Ave Ste 405
San Antonio, TX 78217-6358
Phone (210) 804-0193
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108733 | CT | MD | Registered Nurse |
| RN9379547 | FL | MD | Registered Nurse |
| RN153085 | LA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Childrens Homecare LP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Stafford, TX
- NPI 1487634739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1982176715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8610 N NEW BRAUNFELS AVE STE 405",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782176358",
"telephone_number": "210-804-0193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8610 N NEW BRAUNFELS AVE STE 405",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782176358",
"telephone_number": "210-804-0193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUDDIMAN",
"first_name": "TARALYN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-18",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "108733",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN153085",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9379547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.