TIANA TYLEI GOODMAN-WALKER (NPI# 1508409897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508409897 |
| Entity Type | Individual |
| Full Name | TIANA TYLEI GOODMAN-WALKER |
| Practice Address |
1825 Saint Julian Pl Apt 9b Columbia SC 29204-2483 |
| Practice Telephone | 8035863035 |
| Mailing Telephone | 8035863035 |
| Enumeration Date | 2019-10-20 |
| Last Update Date | 2019-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
RC61784 | SC | Other Service Providers |
| Street Address |
1825 SAINT JULIAN PL APT 9B |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212583 | Morcia K Bradley | Specialist | 6800 Shakespeare Rd Ste D, Columbia, SC 29223-7512 | 2020-10-16 |
| 1942848643 | Tamara Lynette Waters | Specialist | 10050 Two Notch Rd Ste 7, Columbia, SC 29223-4302 | 2019-12-13 |
| 1871130690 | Tonya Haynes Brown | Specialist | 1224 Broad River Rd, Columbia, SC 29210-7619 | 2019-12-01 |
| 1104484880 | Brandi Ann Harris | Specialist | 416 E Broadway, Columbia, MO 65201-4438 | 2019-05-29 |
| 1073087078 | Sonya L Pipkins | Specialist | 1002 Chickasaw Trl, Columbia, TN 38401-2558 | 2019-01-14 |
| 1447754288 | Lakisha Martesa Ashford | Specialist | 651 Saint Andrews Rd, Columbia, SC 29210-5112 | 2018-03-19 |
| 1831604909 | Mary Elizabeth Lewis | Specialist | 120 Fairforest Rd, Columbia, SC 29212-2308 | 2017-12-11 |
| 1205341450 | Katherine L Savage | Specialist | 425 Summit Terrace Ct Ste B5, Columbia, SC 29229-7055 | 2017-12-11 |
| 1457890873 | Beveisha Youmans | Specialist | 3542 Covenant Rd, Columbia, SC 29204-4271 | 2017-02-17 |
| 1922543057 | Tumika Lasha Birch | Specialist | 187 Oleander Mill Way, Columbia, SC 29229-7155 | 2016-12-28 |
| Find all providers in COLUMBIA | ||||
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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.