Individual provider Active NPI

Tammi Arrant Willis, RN4

  • Community Health Registered Nurse
  • Deridder, LA
National Provider Identifier
1073027975
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
104551 Issued in LA
Practice address
216 Evangeline St
Deridder, LA 70634-4251
Phone
(337) 463-4486
Fax
(337) 462-2486
NPI assigned
Nov 30, 2017
Last updated
Nov 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 104551 LA Primary

Addresses

Primary practice location

216 Evangeline St
Deridder, LA 70634-4251

Mailing address

1023 Nursery St
Dequincy, LA 70633-4832
Phone (225) 245-4950

Other names 1

  • Ms. Tammi Jeanette Arrant Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
104551LAMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Department of Health - Office of Public Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1073027975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 NURSERY ST",
            "city": "DEQUINCY",
            "state": "LA",
            "postal_code": "706334832",
            "telephone_number": "225-245-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 EVANGELINE ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344251",
            "telephone_number": "337-463-4486",
            "fax_number": "337-462-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "TAMMI",
        "middle_name": "ARRANT",
        "name_prefix": "Mrs.",
        "credential": "RN4",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "LA",
            "license": "104551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMI",
            "last_name": "ARRANT",
            "middle_name": "JEANETTE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Deridder, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.