TLC Health Services LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TLC HEALTH SERVICES LLC

Practice address

1225 Hancock Rd
BLDG C, Ste 302
Bullhead City, AZ 86442-5948

Phone

(928) 440-6995

Fax

(928) 404-9175

NPI assigned

Feb 22, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Joie Lynn Tedder, APRN,FNP-CNPI 1699195438

Title

Aprn,FNP-C/Provider/Owner

Phone

(620) 660-5770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joie Lynn Tedder, APRN,FNP-C

  • Family Nurse Practitioner
  • Bullhead City, AZ
  • NPI 1699195438
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1992561500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 HANCOCK RD",
            "address_2": "BLDG C, STE 302",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425948",
            "telephone_number": "928-440-6995",
            "fax_number": "928-404-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 HANCOCK RD",
            "address_2": "BLDG C, STE 302",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425948",
            "telephone_number": "928-440-6995",
            "fax_number": "928-404-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "TEDDER",
        "authorized_official_first_name": "JOIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "APRN,FNP-C/PROVIDER/OWNER",
        "authorized_official_telephone_number": "620-660-5770",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN,FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michelle Teresa Thomas, RCP
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• Victoria Lauren Tolentino, PHARMD
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• Tyler Travis, DC

• Family Nurse Practitioner in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.