Individual provider Active NPI

Tammy Pritchett, GNP-C

  • Registered Nurse
  • Thousand Oaks, CA
National Provider Identifier
1104906312
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
13506 Issued in CA
Practice address
2100 Lynn Rd Ste 120
Thousand Oaks, CA 91360-8033
Phone
(805) 497-3585
Fax
(805) 497-1313
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 528545 CA
Registered Nurse 163W00000X 13506 CA Primary

Addresses

Primary practice location

2100 Lynn Rd Ste 120
Thousand Oaks, CA 91360-8033

Mailing address

2100 Lynn Rd Ste 120
Thousand Oaks, CA 91360-8033
Phone (805) 497-3585

Other identifiers 1

IdentifierTypeStateIssuer
00A440630OtherCAMEDICAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040519001027 CA Practitioner - Nurse Practitioner 8729079744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanjiv Goel MD IncGroup PAC ID 7012804636, 2 clinicians

Practice addresses (Care Compare)

2100 Lynn Rd
Suite 120
Thousand Oaks, CA 91360-8033
Phone (805) 497-3585

Hospital & facility affiliations

  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

Merit-based Incentive Payment System (MIPS)

Final score
13.76 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
45.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
528545CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology of Kentucky Past Accepting new patients

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 2

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1104906312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LYNN RD STE 120",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608033",
            "telephone_number": "805-497-3585",
            "fax_number": "805-497-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LYNN RD STE 120",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608033",
            "telephone_number": "805-497-3585",
            "fax_number": "805-497-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHETT",
        "first_name": "TAMMY",
        "credential": "GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "528545",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "13506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "00A440630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.