Individual provider Active NPI

Tammy R Lee, AGNP

  • Gerontology Nurse Practitioner
  • Belpre, OH
National Provider Identifier
1063168268
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AGNP.CNP.0030870 Issued in OH
Practice address
1818 Washington Blvd Ste F
Belpre, OH 45714-2080
Phone
(740) 423-3640
Fax
(740) 423-3641
NPI assigned
Feb 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AGNP.CNP.0030870 OH Primary

Addresses

Primary practice location

1818 Washington Blvd Ste F
Belpre, OH 45714-2080

Mailing address

1315 Tower Rd
Little Hocking, OH 45742-5267
Phone (740) 818-8579

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tammy.lee@mmhs.medicity.net
Direct Messaging Address tammy.lee@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20220328001362 OH Practitioner - Nurse Practitioner 4981099033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

1818 Washington Blvd
Suite F
Belpre, OH 45714-2080
Phone (740) 423-3640

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AGNP.CNP.0030870OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Memorial Hospital CurrentSince May 18, 2022 Accepting new patients
Marietta Memorial Hospital CurrentSince May 18, 2022 Accepting new patients

Locations

803 Farson St
Ste 100
Belpre, OH 45714
Phone (740) 423-3223

1818 Washington Blvd
Ste F
Belpre, OH 45714
Phone (740) 423-3640

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

Organizations & group practices 2

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 5

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": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1063168268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 TOWER RD",
            "city": "LITTLE HOCKING",
            "state": "OH",
            "postal_code": "457425267",
            "telephone_number": "740-818-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 WASHINGTON BLVD STE F",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457142080",
            "telephone_number": "740-423-3640",
            "fax_number": "740-423-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TAMMY",
        "middle_name": "R",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "AGNP.CNP.0030870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tammy.lee@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "803 Farson St Ste 100",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457140016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tammy.lee@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "1818 Washington Blvd Ste F",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457142080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belpre, OH

Sources for this page

Verify at the official NPI Registry.