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TIMOTHY ESTRADA
NPI 1972298404
Student in an Organized Health Care Education/Training Program in Johnson City, TN

Active since April 10, 2023
1 DOGWOOD AVE, JOHNSON CITY, TN 37614(423) 439-6210 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Estrada NPPES

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

TIMOTHY ESTRADA (NPI 1972298404) is an individual student in an organized health care education/training program in Johnson City, Tennessee and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1972298404
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTIMOTHY ESTRADA
Location Address1 DOGWOOD AVEJohnson City, TN 37614
Mailing Address307 Bandolina DrSocorro, TX 79927-1446 · (915) 920-4053
Phone(423) 439-6210
Sole ProprietorYes
Enumeration DateApril 10, 2023
NPPES CertifiedApril 3, 2023
✔ NPI 1972298404 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
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.
1 DOGWOOD AVE, Johnson City, TN 37614
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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 Timothy Estrada's NPI number?

The NPI number for Timothy Estrada is 1972298404. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Timothy Estrada located?

Timothy Estrada practices at 1 Dogwood Ave, Johnson City, TN 37614. The listed phone number is (423) 439-6210.

What is Timothy Estrada'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 Timothy Estrada was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.