Active NPI
Tamara K Tjepkema, CRNA
- Certified Registered Nurse Anesthetist
- Suffolk, VA
National Provider Identifier
1144238965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024164601
- Practice address
- 5818 Harbour View Blvd
Suite 240
Suffolk, VA 23435-3315 - Phone
- (757) 483-6100
- Fax
- (703) 295-9369
- NPI assigned
- Aug 4, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024164601 | VA | Primary |
Addresses
Primary practice location
5818 Harbour View Blvd
Suite 240
Suffolk, VA 23435-3315
Mailing address
P.O. Box 37090
Baltimore, MD 21297-3090
Phone (703) 295-9360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010205654 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia (Virginia), LLC | Past | Accepting new patients | |
| Maryview Hospital LLC | Past | Accepting new patients | |
| Anesthesia Healthcare Partners, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Portsmouth Anesthesia Associates, P.C. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Petersburg, VA
- NPI 1477501401
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Newport News, VA
- NPI 1013439835
-
- Anesthesiology Physician
- Fairfax, VA
- NPI 1922031442
-
- Anesthesiology Physician
- Portsmouth, VA
- NPI 1487677845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1144238965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 37090",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973090",
"telephone_number": "703-295-9360",
"fax_number": "703-295-9369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5818 HARBOUR VIEW BLVD",
"address_2": "SUITE 240",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353315",
"telephone_number": "757-483-6100",
"fax_number": "703-295-9369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TJEPKEMA",
"first_name": "TAMARA",
"middle_name": "K",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024164601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010205654",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.