Individual provider Active NPI

Tammy Lynn Walker

  • Family Nurse Practitioner
  • Carlisle, IN
National Provider Identifier
1124808803
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71014487A Issued in IN
Practice address
405 E Harrison St
Carlisle, IN 47838-8127
Phone
(812) 564-6050
NPI assigned
Oct 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 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 28176873A IN
Family Nurse Practitioner 363LF0000X 71014487A IN Primary

Addresses

Primary practice location

405 E Harrison St
Carlisle, IN 47838-8127

Mailing address

405 E Harrison St
Carlisle, IN 47838-8127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20231121001098 IN Practitioner - Nurse Practitioner 3476901018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sullivan County Community HospitalGroup PAC ID 2466497482, shared by 5 NPIs, 44 clinicians

Practice addresses (Care Compare)

2186 N Hospital Blvd
2 Lakeside Family Medical
Sullivan, IN 47882-7654
Phone (812) 268-3318

2229 Mary Sherman Dr
Sullivan, IN 47882-7633
Phone (812) 268-3318

Hospital & facility affiliations

  • Sullivan County Community Hospital Hospital, Sullivan, IN, CCN 151327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
28176873AINMDRegistered Nurse
71014487AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sullivan Family Practice, LLC Current Accepting new patients
Sullivan County Community Hospital CurrentSince Nov 17, 2023 Accepting new patients
Sullivan County Community Hospital CurrentSince Nov 17, 2023 Accepting new patients
Sullivan County Community Hospital CurrentSince Jun 26, 2024 Accepting new patients
Sullivan County Community Hospital Past Accepting new patients
Access Medical Clinic LLC Past Accepting new patients

Locations

2200 N Section St
Ste A
Sullivan, IN 47882
Phone (812) 268-6292

2186 N Hospital Blvd
Ste 2
Sullivan, IN 47882

2186 N Hospital Blvd
Ste 2
Sullivan, IN 47882
Phone (812) 268-3318

2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292

2229 Mary Sherman Dr
Sullivan, IN 47882
Phone (812) 238-2100

Interoperability endpoints

  • Direct secure messaging: tammy.walker.1@8793.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1124808803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E HARRISON ST",
            "city": "CARLISLE",
            "state": "IN",
            "postal_code": "478388127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E HARRISON ST",
            "city": "CARLISLE",
            "state": "IN",
            "postal_code": "478388127",
            "telephone_number": "812-564-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28176873A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014487A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, IN

Sources for this page

Verify at the official NPI Registry.