Individual provider Active NPI

Tammy Tenace, NP

  • Women's Health Nurse Practitioner
  • Shaw AFB, SC
National Provider Identifier
1053309203
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R097322 Issued in MD
Practice address
431 Meadowlark St
Shaw a F B, SC 29152-5019
Phone
(803) 895-6580
NPI assigned
Oct 12, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X R097322 MD Primary

Addresses

Primary practice location

431 Meadowlark St
Shaw a F B, SC 29152-5019

Mailing address

5610 Persimmon St
Apt B
Shaw a F B, SC 29152-1310
Phone (803) 499-1705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R097322MDMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053309203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 PERSIMMON ST",
            "address_2": "APT B",
            "city": "SHAW A F B",
            "state": "SC",
            "postal_code": "291521310",
            "telephone_number": "803-499-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 MEADOWLARK ST",
            "city": "SHAW A F B",
            "state": "SC",
            "postal_code": "291525019",
            "telephone_number": "803-895-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENACE",
        "first_name": "TAMMY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "R097322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaw AFB, SC

Sources for this page

Verify at the official NPI Registry.