Active NPI
Tammy June Loebker, APRN
- Family Nurse Practitioner
- Louisville, KY
National Provider Identifier
1184059511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3008260
- Practice address
- 9510 Ormsby Station Rd Ste 100
Louisville, KY 40223 - Phone
- (502) 327-9100
- Fax
- (855) 632-8329
- NPI assigned
- Sep 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.17201-NP | OH | |
| Family Nurse Practitioner | 363LF0000X | 71005358A | IN | |
| Family Nurse Practitioner | 363LF0000X | 3008260 | KY | Primary |
Addresses
Primary practice location
9510 Ormsby Station Rd Ste 100
Louisville, KY 40223
Mailing address
9510 Ormsby Station Rd Ste 100
Louisville, KY 40223-4082
Phone (502) 327-9100
Other practice location 1
1724 State St
New Albany, IN 47150-4916
Phone (502) 327-9100
Other practice location 2
4700 E Galbraith Rd Ste 301
Cincinnati, OH 45236-2754
Phone (502) 327-9100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12590518 | Other | CAQH |
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
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1184059511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9510 ORMSBY STATION RD STE 100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402234082",
"telephone_number": "502-327-9100",
"fax_number": "855-632-8329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9510 ORMSBY STATION RD STE 100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40223",
"telephone_number": "502-327-9100",
"fax_number": "855-632-8329"
}
],
"practiceLocations": [
{
"address_1": "1724 State St",
"address_purpose": "LOCATION",
"city": "New Albany",
"state": "IN",
"postal_code": "471504916",
"country_code": "US",
"telephone_number": "502-327-9100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4700 E Galbraith Rd Ste 301",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452362754",
"country_code": "US",
"telephone_number": "502-327-9100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOEBKER",
"first_name": "TAMMY",
"middle_name": "JUNE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.17201-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71005358A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3008260",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12590518",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.