Active NPI
Tammera Phipps
- Family Nurse Practitioner
- Fairfield, OH
National Provider Identifier
1083061550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA 18706-NP
- Practice address
- 1168 N Frieda Dr
Fairfield, OH 45014-3316 - Phone
- (513) 907-3547
- NPI assigned
- May 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA 18706-NP | OH | Primary |
Addresses
Primary practice location
1168 N Frieda Dr
Fairfield, OH 45014-3316
Mailing address
5136 River Ridge LN
Fairfield Township, OH 45011-2245
Phone (513) 907-3547
Other practice location 1
5136 River Ridge Ln
Fairfield Township, OH 45011-2245
Phone (513) 907-3547
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA 18706-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current | Accepting new patients | |
| Hospice of Southwest Ohio, Inc. | Past | Accepting new patients |
Locations
175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
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.
-
- Community Based Hospice Care Agency
- Cincinnati, OH
- NPI 1043295611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1083061550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5136 RIVER RIDGE LN",
"city": "FAIRFIELD TOWNSHIP",
"state": "OH",
"postal_code": "450112245",
"telephone_number": "513-907-3547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1168 N FRIEDA DR",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450143316",
"telephone_number": "513-907-3547"
}
],
"practiceLocations": [
{
"address_1": "5136 River Ridge Ln",
"address_purpose": "LOCATION",
"city": "Fairfield Township",
"state": "OH",
"postal_code": "450112245",
"country_code": "US",
"telephone_number": "513-907-3547",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHIPPS",
"first_name": "TAMMERA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA 18706-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.