TAMMY JIMENEZ (NPI# 1710036454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710036454 |
| Entity Type | Individual |
| Full Name | TAMMY JIMENEZ |
| Credential | RD, LD, IBCLC, CPM, |
| Practice Address |
5555 W. Twin Lakes Dr. Tyler TX 75704 |
| Mailing Address |
5555 W Twin Lakes Dr. Tyler TX 75704 |
| Practice Telephone | 4093827040 |
| Practice Fax Number | 9034960361 |
| Mailing Telephone | 4093827040 |
| Mailing Fax Number | 9034960361 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2017-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | DT07165 | TX | Dietary & Nutritional Service Providers |
| Y | 176B00000X | Midwife | 99311 | TX | Other Service Providers |
| N | 174N00000X | Lactation Consultant, Non-RN | L-17418 | Other Service Providers | |
| N | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
| Street Address |
5555 W. TWIN LAKES DR. |
| City | TYLER |
| State | TX |
| Zip Code | 75704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325415 | Rupal R Patel | Pharmacist | 3820 Tx 64, Tyler, TX 75704 | 2020-10-27 |
| 1932757945 | Gracelyn Hernandez Kuester | Technician | 14320 Country Road 420, Tyler, TX 75704 | 2019-09-03 |
| 1033770227 | Rajamanoj Kondaveeti | Dentist | 3873 Tx-64, Tyler, TX 75704 | 2019-06-27 |
| 1063070209 | Susan Michele Whitaker | Counselor | The Beginning, 114 Jordan Plaza Blvd Suite 302, Tyler, TX 75704 | 2019-06-03 |
| 1649836768 | Tyla Sherrie' Tarrant | Licensed Vocational Nurse | 3050 Cr 427, #502, Tyler, TX 75704 | 2019-05-14 |
| 1437458874 | North Mesa Dental, PC | Dentist | 3864 Hwy 64 West, Tyler, TX 75704 | 2011-03-24 |
| 1093025751 | Zana Elliot Enterprises LLC | Nurse Practitioner | 12751 Westbrook Dr, Tyler, TX 75704 | 2010-10-15 |
| 1063023935 | Shanika Lanell Grant | Licensed Vocational Nurse | 134 Patton Ln, Tyler, TX 75704-2004 | 2020-08-13 |
| 1194342410 | Shanequia Dianne Flowers | Licensed Vocational Nurse | 404 Lemay Dr, Tyler, TX 75704-2031 | 2020-07-02 |
| 1396774071 | Omnicare Pharmacy of Texas 2, Lp | Pharmacy | 105 Jordan Plaza Blvd, Tyler, TX 75704-2048 | 2006-07-03 |
| Find all providers in zip 75704 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578966065 | Melena Sandifer | Midwife | 215 S Vine Ave, Tyler, TX 75702-7143 | 2014-09-29 |
| 1255513792 | Vicky Marie Wells | Midwife | 421 S Bonner Ave, Tyler, TX 75702-8034 | 2007-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439926 | Leena Pacak | Midwife | 1803 S 1st St, Austin, TX 78704-4238 | 2020-08-31 |
| 1942813548 | Shanna Hinrichs | Midwife | 8409 Liberty Ln, Rowlett, TX 75089-2546 | 2020-08-25 |
| 1780295576 | Jalisa Taylor | Midwife | 7447 Harwin Dr Ste 290, Houston, TX 77036-2080 | 2020-08-13 |
| 1073124194 | Aisha Ralph | Midwife | 700 Louis Henna Blvd Apt 524, Round Rock, TX 78664-5742 | 2020-08-12 |
| 1083230254 | Hali Morgan Tipton | Midwife | 8206 Intrepid Ln, Rowlett, TX 75089-2516 | 2020-06-23 |
| 1124641659 | Ennis Midwifery LLC | Midwife | 2507 Park St, Ennis, TX 75119-7650 | 2020-05-19 |
| 1588287007 | The Bump Birthing Center Inc. | Midwife | 7905 Liberty Grove Rd, Rowlett, TX 75089-2311 | 2020-05-19 |
| 1033739982 | Home Birth Honey LLC | Midwife | 8807 Huebinger Pass, Austin, TX 78745-8029 | 2020-04-21 |
| 1063041242 | Victoria Long | Midwife | 1840 County Road 203, Burnet, TX 78611-6289 | 2020-04-08 |
| 1801425996 | Amorette Embrey | Midwife | 14435 Cabot Lodge Ln, Cypress, TX 77429-4321 | 2020-04-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.