NPIMap

Individual provider Active NPI

Tammy Elaine Hakim, ANP-BC

  • Nurse Practitioner
  • Franklin, TN
National Provider Identifier
1043549587
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11020568 Issued in FL
Practice address
4001 Oxford Glen Dr
Franklin, TN 37067-5850
Phone
(615) 438-8931
NPI assigned
Dec 11, 2009
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11020568 FL Primary
Adult Health Nurse Practitioner 363LA2200X 14642 TN

Addresses

Primary practice location

4001 Oxford Glen Dr
Franklin, TN 37067-5850

Mailing address

50 S B B King Blvd Ste 100
Memphis, TN 38103-2626
Phone (901) 436-1381

Other identifiers 1

IdentifierTypeStateIssuer
14642OtherTNTN BOARD OF NURSING

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250103003178 FL Practitioner - Nurse Practitioner 2668509563 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SHC Medical Partners of Florida, LLCGroup PAC ID 7618046517, 9 clinicians
Abode Care Partners Al VB LLCGroup PAC ID 1658403704, 48 clinicians
Living Well Clinic LLCGroup PAC ID 5799108767, 3 clinicians

Practice addresses (Care Compare)

4033 Beaver LN
Port Charlotte, FL 33952-9206
Phone 80080765554

4400 Bayou Blvd
Suite 54a
Pensacola, FL 32503-1909
Phone (727) 323-3611

7333 Scotland Way
Sarasota, FL 34238-8530
Phone (941) 552-5262

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14642TNMDPhysical Therapist
11020568FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abode Care Partners Al VB, LLC Nurse Practitioner CurrentSince Dec 16, 2024 Accepting new patients
Abode Care Partners Al VB, LLC Nurse Practitioner CurrentSince Dec 16, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC Nurse Practitioner CurrentSince Dec 16, 2024 Accepting new patients
SHC Medical Partners of Florida, LLC Nurse Practitioner CurrentSince Dec 16, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC Nurse Practitioner CurrentSince Dec 16, 2024 Accepting new patients
Senior Health Professionals LLC PastSince Nov 1, 2017 Accepting new patients

Locations

4400 Bayou Blvd
Ste 54A
Pensacola, FL 32503
Phone (727) 323-3611

4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1043549587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S B B KING BLVD STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032626",
            "telephone_number": "901-436-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 OXFORD GLEN DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675850",
            "telephone_number": "615-438-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIM",
        "first_name": "TAMMY",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11020568",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "14642",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN BOARD OF NURSING",
            "identifier": "14642",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.