Tamar Greenly, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

277.005213 Issued in IL

Practice address

702 W Chestnut St
Bloomington, IL 61701-2814

Phone

(309) 557-1400

Fax

(309) 557-1461

NPI assigned

Jun 30, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Partners in Recovery LLCGroup PAC ID 9638212301, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tamar.greenly@direct.azpir.nextgenshare.com
• Direct secure messaging: tamar.greenlynp.p1@direct.lifewell.nextgenshare.com
• Direct secure messaging: rhctgreenl@yourcarecommunity.org

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.

• Partners in Recovery, LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1922232925
  Medicare reassignment Care Compare group
• Partners in Recovery, LLC

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1417709551
  NPD
• Horizon Health and Wellness, Inc.

  • Professional Counselor
  • Globe, AZ
  • NPI 1205931987

  Psychiatric/Mental Health

  NPD (past)
• Horizon Health and Wellness, Inc.

  • Federally Qualified Health Center (FQHC)
  • Oracle, AZ
  • NPI 1710366737
  NPD (past)
• Lifewell Behavioral Wellness

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1720330194
  NPD (past)
• NM Pacs 2 LLC

  • Hospitalist Physician
  • Albuquerque, NM
  • NPI 1366928749
  NPD (past)
• Oakwood Creative Care Inc.

  • Adult Day Care Clinic/Center
  • Mesa, AZ
  • NPI 1114388626
  NPD (past)
• Partners in Recovery, LLC

  • Community/Behavioral Health Agency
  • Glendale, AZ
  • NPI 1659623882
  NPD (past)
• Partners in Recovery, LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1659768570
  NPD (past)
• Partners in Recovery, LLC

  • Clinic/Center
  • Peoria, AZ
  • NPI 1831941962
  NPD (past)

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1194012005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 MARTIN LUTHER KING DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617011429",
            "telephone_number": "888-924-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W CHESTNUT ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617012814",
            "telephone_number": "309-557-1400",
            "fax_number": "309-557-1461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4451 E Oak St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850082410",
            "country_code": "US",
            "telephone_number": "602-599-5434",
            "fax_number": "602-599-5734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENLY",
        "first_name": "TAMAR",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP8308",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277.005213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011587",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Grecek
• Francis Patrick Green, DDS,MS
• Janis Eileen Green
• Sarah Greenberg
• Brandon Jeremy Greenfield, MD
• Gregory M Randolph DDS & Associates, LTD
• Cally Christine Grey
• Taylor Mae Griem
• M Allan Griffith, MD
• Mariellen Griffith, ED.D.

• Psychiatric/Mental Health Nurse Practitioner in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.