TINY IMPRESSIONS LLC (NPI# 1902312028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902312028 |
| Entity Type | Organization |
| Organization Name | TINY IMPRESSIONS LLC |
| Practice Address |
101 W Hawkins Pkwy Ste 2 Longview TX 75605-1833 |
| Mailing Address |
Po Box 10162 Longview TX 75608-0162 |
| Practice Telephone | 9036636800 |
| Mailing Telephone | 9036636800 |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | LOREN HOLLEY (VICE PRESIDENT) |
| Authorized Official Telephone | 9036636800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
TX | Technologists, Technicians & Other Technical Service Providers | |
| N | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
TX | Technologists, Technicians & Other Technical Service Providers | |
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
101 W HAWKINS PKWY STE 2 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952924730 | Michael Testa Jr. | Radiologic Technologist | 3801 N Lamar Blvd # 350, Austin, TX 78756-4080 | 2020-05-27 |
| 1174143713 | Casey Lunt | Radiologic Technologist | 4621 Dusk Meadow Dr, Carrollton, TX 75010-2069 | 2020-04-23 |
| 1083242093 | Bridget Andersen | Radiologic Technologist | 4618 Avenue R 1/2, Galveston, TX 77551-5327 | 2020-03-27 |
| 1972141901 | Reynaldo Reyes | Radiologic Technologist | 9801 Royal Ln Apt 307, Dallas, TX 75231-1825 | 2019-12-20 |
| 1588222772 | Tiessa Lurae Self | Radiologic Technologist | 927 Strawberry Rd, Pasadena, TX 77506-4821 | 2019-06-03 |
| 1790224210 | Makeba Waller | Radiologic Technologist | 1719 Almond Dr, Mansfield, TX 76063-2916 | 2017-02-16 |
| 1275922445 | Brandon Holbert | Radiologic Technologist | 310 San Mateo Ct, Irving, TX 75062-4509 | 2015-01-12 |
| 1346657921 | Kellie A Arce | Radiologic Technologist | 2056 Sundance Pkwy Apt 2320, New Braunfels, TX 78130-2790 | 2014-07-16 |
| 1205242674 | Shiva Ghazizadeh | Radiologic Technologist | 1304 W Branch Hollow Dr, Carrollton, TX 75007-1144 | 2014-07-07 |
| 1336562461 | Rajesh Mehta | Radiologic Technologist | 3527 Highway 6, Suite 270, Sugar Land, TX 77478-4519 | 2014-01-24 |
| 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.