Tandi W. Fortier, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

22821 Issued in SC

Practice address

41 Park Creek Dr
Greenville, SC 29605-4270

Phone

(864) 299-1600

Fax

(864) 422-2964

NPI assigned

Jun 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Essence of the Mind Behavioral Health and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, SC
  • NPI 1376304063
  Medicare reassignment NPD Authorized official
• A Practitioners Touch

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, SC
  • NPI 1902375900
  Medicare reassignment NPD
• Ernest C. Martin, M.D., P.a.

  • Psychiatry Physician
  • Anderson, SC
  • NPI 1871555896
  Medicare reassignment NPD
• Upstate Wellness Center LLC

  • Psychiatry Physician
  • Anderson, SC
  • NPI 1871362459
  Medicare reassignment NPD
• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300
  NPD
• Columbia Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Greenville, SC
  • NPI 1265490155
  NPD (past)

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1205494580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 MIDDLESHARE DR",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296623312",
            "telephone_number": "864-567-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 PARK CREEK DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054270",
            "telephone_number": "864-299-1600",
            "fax_number": "864-422-2964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Buford Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296213365",
            "country_code": "US",
            "telephone_number": "864-261-9506",
            "fax_number": "864-226-4201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTIER",
        "first_name": "TANDI",
        "middle_name": "W.",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "22821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tandi.gilmore@va.gov",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "department of veterans affairs",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "102 Buford Ave Ste A",
            "city": "Anderson",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296213365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tandi.gilmore@va.gov",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "DEPARTMENT OF VETERANS AFFAIRS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "41 Park Creek Dr",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296054270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carl Gunnar Forsberg, M.D.
• David Andrew Forstein, D.O.
• Dianna Fort, NP
• Fortenberry Counseling and Consulting Services, LLC.
• Tayla Fortenberry, MA, ED.S, LPC
• Nichole Susanna Fortin, PA
• Fortis Physical Therapy and Pelvic Health
• Joy Jennifer Fortner-Edris, LPC, LMFT, CACP
• Stephanie Paige Fortner, APRN
• Robert Fortney

• Psychiatric/Mental Health Nurse Practitioner in Greenville, SC
• Providers in Greenville, SC by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.