Tammy Vardeman Aguilar, RN, NNP-BC

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

RN117954 Issued in GA

Practice address

101 W Ponce de Leon Ave
Suite #242
Decatur, GA 30030-2542

Phone

(404) 778-7622

Fax

(404) 778-7645

NPI assigned

Nov 17, 2012

Last updated

Nov 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353110400000",
    "number": "1013251859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W PONCE DE LEON AVE",
            "address_2": "SUITE #242",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302542",
            "telephone_number": "404-778-7622",
            "fax_number": "404-778-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W PONCE DE LEON AVE",
            "address_2": "SUITE #242",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302542",
            "telephone_number": "404-778-7622",
            "fax_number": "404-778-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "TAMMY",
        "middle_name": "VARDEMAN",
        "credential": "RN, NNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-17",
        "last_updated": "2012-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "GA",
            "license": "RN117954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christiana Agbonghae, MD
• Agewell Home Health Care LLC
• Amir M. Agha, MD
• Aging Well Senior Community
• Samuel Miguel Aguayo, M.D.
• Michael Kwaku Agyemang
• Farida Ahmadi, P.A.
• Mira Abdurashid Ahmed, D.C
• Ahp of Dekalb LLC
• Mzola Uba Ahuama-Jonas, L.P.C., N.C.C.

• Neonatal Nurse Practitioner in Decatur, GA
• Providers in Decatur, GA by specialty
• Neonatal Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.