Individual provider Active NPI

Tammie Lynnette Carter, CSFA

  • Surgical Assistant
  • Smyrna, TN
National Provider Identifier
1174874283
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
116601 Issued in TN
Practice address
200 Stonecrest Blvd
Suite 360
Smyrna, TN 37167-6810
Phone
(615) 223-9935
Fax
(615) 768-7871
NPI assigned
Sep 28, 2012
Last updated
Sep 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 116601 TN Primary

Addresses

Primary practice location

200 Stonecrest Blvd
Suite 360
Smyrna, TN 37167-6810

Mailing address

200 Stonecrest Blvd
Suite 360
Smyrna, TN 37167-6810
Phone (615) 223-9935

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
116601TNMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1174874283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STONECREST BLVD",
            "address_2": "SUITE 360",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676810",
            "telephone_number": "615-223-9935",
            "fax_number": "615-768-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STONECREST BLVD",
            "address_2": "SUITE 360",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676810",
            "telephone_number": "615-223-9935",
            "fax_number": "615-768-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TAMMIE",
        "middle_name": "LYNNETTE",
        "credential": "CSFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TN",
            "license": "116601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.