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TIMARA KEIANA STALLWORTH
NPI 1205466729
Student in an Organized Health Care Education/Training Program in Mobile, AL

Active since January 23, 2020
814 DONALD ST, MOBILE, AL 36617(404) 857-9880 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timara Keiana Stallworth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMARA KEIANA STALLWORTH (NPI 1205466729) is an individual student in an organized health care education/training program in Mobile, Alabama, licensed in Georgia (PHI-020748) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1205466729
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTIMARA KEIANA STALLWORTH
Location Address814 DONALD STMobile, AL 36617-2924
Mailing Address814 Donald StMobile, AL 36617-2924 · (404) 857-9880
Phone(404) 857-9880
Sole ProprietorYes
Enumeration DateJanuary 23, 2020
✔ NPI 1205466729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Licenses✔ Licensed in GA · PHI-020748✔ Licensed in AL · S12715
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
814 DONALD ST, Mobile, AL 36617
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timara Stallworth's NPI number?

The NPI number for Timara Stallworth is 1205466729. It was assigned to this individual provider in the NPPES registry on January 23, 2020.

Where is Timara Stallworth located?

Timara Stallworth practices at 814 Donald St, Mobile, AL 36617. The listed phone number is (404) 857-9880.

What is Timara Stallworth's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Timara Stallworth was last updated on January 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.