Individual provider Active NPI

Tammy Womack, APRN, FNP-C

  • Family Nurse Practitioner
  • Trinidad, TX
National Provider Identifier
1144850637
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144607 Issued in TX
Practice address
406 E Eaton St
Trinidad, TX 75163-7165
Phone
(903) 340-4148
NPI assigned
Jan 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP144607 TX Primary

Addresses

Primary practice location

406 E Eaton St
Trinidad, TX 75163-7165

Mailing address

406 E Eaton St
Trinidad, TX 75163-7165
Phone (903) 340-4148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201120000072 TX Practitioner - Nurse Practitioner 8628489788
I20201202000843 FL Practitioner - Nurse Practitioner 8628489788

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP144607TXMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: tammy.womack.p2@direct.alegiscare.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1144850637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 E EATON ST",
            "city": "TRINIDAD",
            "state": "TX",
            "postal_code": "751637165",
            "telephone_number": "903-340-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E EATON ST",
            "city": "TRINIDAD",
            "state": "TX",
            "postal_code": "751637165",
            "telephone_number": "903-340-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "TAMMY",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinidad, TX

Sources for this page

Verify at the official NPI Registry.