Amber Nicole Tate, MS, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024173791 Issued in VA

Practice address

15521 Midlothian Tpke
Suite 105
Midlothian, VA 23113-7312

Phone

(804) 423-1550

NPI assigned

Aug 2, 2016

Last updated

Nov 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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 VA

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spectrum Transformation Group, LLCGroup PAC ID 8527253830, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: spectrumtransformationgroup.ambertate@150682.advancedmd-direct.com

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.

• Spectrum Transformation Group, LLC

  • Cognitive & Behavioral Psychologist
  • North Chesterfield, VA
  • NPI 1174855985
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1043763410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15521 MIDLOTHIAN TPKE",
            "address_2": "SUITE 105",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231137312",
            "telephone_number": "804-423-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15521 MIDLOTHIAN TPKE",
            "address_2": "SUITE 105",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231137312",
            "telephone_number": "804-423-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "credential": "MS, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024173791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Frances Tarboro, RBT
• Madelynn Tarkington, PA-C
• Tawanda L Tarpley-Tedder, CEO
• Laprecious Tierra Tarpley, LCSW
• Robert W Tart, D.M.D
• Denise Evadne Tatum, LCSW
• Derek John Tatum
• Payaam Patrick Tavakoli, DPM
• Brittany Taylor Shredl
• Amy Taylor

• Psychiatric/Mental Health Nurse Practitioner in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.