Tammy Lee Baldassare, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

064604-23 Issued in NH

Practice address

30 Pillsbury St
Concord, NH 03301-3502

Phone

(603) 224-4093

NPI assigned

Apr 2, 2020

Last updated

Sep 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Granite Vna, Inc.

  • Community Based Hospice Care Agency
  • Concord, NH
  • NPI 1124069315
  Medicare reassignment NPD
• Concord Regional Visiting Nurse Association, Inc.

  dba Community Health & Hospice

  • Home Health Agency
  • Laconia, NH
  • NPI 1841227295
  NPD

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1114556198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PILLSBURY ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013502",
            "telephone_number": "603-848-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PILLSBURY ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013502",
            "telephone_number": "603-224-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDASSARE",
        "first_name": "TAMMY",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "064604-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mackenzie Baker, PA-C
• Mary Margaret Baker, PA-C
• Philip Baker, M.D.
• Balance Mental Health, P.L.L.C.
• Stephanie Balcom, BA
• Erin Balestrieri, MS
• David Ball, MA, LCMHC
• Jonathan R. Ballard, MD
• Benjamin F. Ballou, MA, LCMHC
• Anne Marcia Banach, PA-C

• Family Nurse Practitioner in Concord, NH
• Providers in Concord, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.

Verify at the official NPI Registry.