Individual provider Active NPI

Tammy Louise Tyson, FNP

  • Family Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1184602450
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22002 Issued in TN
Practice address
7735 Farmington Blvd Ste 6
Germantown, TN 38138-2901
Phone
(901) 757-6805
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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 22002 TN Primary

Addresses

Primary practice location

7735 Farmington Blvd Ste 6
Germantown, TN 38138-2901

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4200

Other names 1

  • Tammy Louise Tyson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20180723000945 TN Practitioner - Nurse Practitioner 8820222953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3362 S 3Rd St
Memphis, TN 38109-2944
Phone (901) 271-6300

969 Frayser Blvd
Memphis, TN 38127-5977
Phone (901) 260-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Community Health Services Inc CurrentSince May 1, 2023 Accepting new patients
Christ Community Health Services Inc CurrentSince May 1, 2023 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Feb 3, 2021 Accepting new patients
Christ Community Health Services Inc Past Accepting new patients
Christ Community Health Services Inc Past Accepting new patients

Locations

969 Frayser Blvd
Memphis, TN 38127
Phone (901) 260-8400

2861 Broad Ave
Memphis, TN 38112
Phone (901) 260-8500

2595 Central Ave
Memphis, TN 38104
Phone (901) 260-8500

7735 Farmington Blvd
Memphis, TN 38138
Phone (901) 754-5124

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJCIAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJJDAA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1184602450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "615-425-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7735 FARMINGTON BLVD STE 6",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382901",
            "telephone_number": "901-757-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSON",
        "first_name": "TAMMY",
        "middle_name": "LOUISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2023-06-16",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "TYSON",
            "middle_name": "LOUISE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.