Individual provider Active NPI

Tammy N Crumpler, MD

  • Diagnostic Radiology Physician
  • Boone, NC
National Provider Identifier
1023065661
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
500500983 Issued in NC
Practice address
336 Deerfield Rd
Boone, NC 28607-5008
Phone
(828) 262-4100
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD61480220 WA
Diagnostic Radiology Physician 2085R0202X 500500983 NC Primary

Addresses

Primary practice location

336 Deerfield Rd
Boone, NC 28607-5008

Mailing address

400 Shadowline Dr
Ste 201a
Boone, NC 28607-5089
Phone (828) 264-6850

Other practice location 1

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060927000313 NC Practitioner - Diagnostic Radiology 9537164496 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tra-Minw P SGroup PAC ID 2163316167, 152 clinicians

Practice addresses (Care Compare)

109 Oak Ridge Dr
Boone, NC 28607-7009
Phone (253) 761-4200

Hospital & facility affiliations

  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • St Anthony Hospital Hospital, Gig Harbor, WA, CCN 500151
  • St Francis Community Hospital Hospital, Federal Way, WA, CCN 500141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
500500983NCMDDiagnostic Radiology Physician
MD61480220WAMDDiagnostic Radiology Physician
22592SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tra-Minw P S CurrentSince Dec 1, 2023 Accepting new patients
Union Avenue Open MRI LLC CurrentSince Dec 1, 2023 Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince Dec 1, 2023 Accepting new patients
Tra Medical Imaging Centers LLC CurrentSince Dec 1, 2025 Accepting new patients
Tra-Minw P S Past Accepting new patients
Mountain Empire Radiology Inc PC Diagnostic Radiology Past Accepting new patients

Locations (25 of 40)

2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121

122 3rd St NE
Auburn, WA 98002
Phone (253) 833-7750

202 N Division St
#One
Auburn, WA 98001
Phone (253) 334-6248

101 2nd St NE
Auburn, WA 98002
Phone (253) 394-0125

10004 204th Ave E
Ste 2600
Bonney Lake, WA 98391
Phone (253) 446-3983

21110 Sr 410 E
Ste 110
Bonney Lake, WA 98391

5900 State Highway 303 NE
Bremerton, WA 98311
Phone (253) 459-6633

2512 Wheaton Way
Bremerton, WA 98310
Phone (360) 782-3650

30809 1st Ave S
Ste 2601
Federal Way, WA 98003

4700 Point Fosdick Dr
Ste 110
Gig Harbor, WA 98335
Phone (253) 759-2622

6140 E Lake Sammamish Pkwy SE
Ste F
Issaquah, WA 98029

24080 SE Kent Kangley Rd
Maple Valley, WA 98038
Phone (253) 372-7680

3822 116th St NE
Marysville, WA 98271

9725 SE 36th St
Ste 114
Mercer Island, WA 98040

500 Lilly Rd NE
Ste 160
Olympia, WA 98506
Phone (360) 413-8307

3504 12th Ave NE
Olympia, WA 98506
Phone (253) 459-8009

15125 Meridian E
Ste 101
Puyallup, WA 98375

1450 5th St SE
Ste 4600
Puyallup, WA 98372

11212 Sunrise Blvd E
Ste 200
Puyallup, WA 98374

222 15th Ave SE
Puyallup, WA 98372

5005 Ruston Way
Ruston, WA 98407

4550 Fauntleroy Way SW
Seattle, WA 98126
Phone (206) 933-1041

118 NE 45th St
#A
Seattle, WA 98105
Phone (206) 430-7570

3400 California Ave SW
Seattle, WA 98116
Phone (206) 320-3399

1624 S I St
Ste 405
Tacoma, WA 98405
Phone (253) 274-4545

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-trami
  • Direct secure messaging: tcrumpler1013764@direct.unc.nchie.net

Organizations & group practices 6

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1023065661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SHADOWLINE DR",
            "address_2": "STE 201A",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075089",
            "telephone_number": "828-264-6850",
            "fax_number": "264-264-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 DEERFIELD RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075008",
            "telephone_number": "828-262-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 Fawcett Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984021900",
            "country_code": "US",
            "telephone_number": "253-761-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUMPLER",
        "first_name": "TAMMY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61480220",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "500500983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.