Individual provider Active NPI

Tammy Renae Haste, MSN, APRN, NP-C

  • Nurse Practitioner
  • Somerset, KY
National Provider Identifier
1205603750
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4012488 Issued in KY
Practice address
106 Gover St
Somerset, KY 42501-3332
Phone
(606) 679-8331
Fax
(606) 678-4427
NPI assigned
Dec 5, 2023
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4012488 KY Primary

Addresses

Primary practice location

106 Gover St
Somerset, KY 42501-3332

Mailing address

106 Gover St
Somerset, KY 42501-3332
Phone (606) 679-8331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240119003676 KY Practitioner - Nurse Practitioner 9830541325 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4012488KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP Nurse Practitioner CurrentSince Nov 23, 2025 Accepting new patients
Caremed Health Solutions of Kentucky, LLC CurrentSince Dec 6, 2023 Accepting new patients

Locations

1820 Oakview Rd
Ashland, KY 41101
Phone (606) 325-5200

446 Mount Holly Ave
Louisville, KY 40206
Phone (502) 897-1646

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 701-2379

65 Ramapo Valley Rd
Ste 102B
Mahwah, NJ 07430
Phone (614) 774-7988

300 Tice Blvd
Ste 175
Woodcliff Lake, NJ 07677

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1205603750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 GOVER ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013332",
            "telephone_number": "606-679-8331",
            "fax_number": "606-678-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 GOVER ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013332",
            "telephone_number": "606-679-8331",
            "fax_number": "606-678-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTE",
        "first_name": "TAMMY",
        "middle_name": "RENAE",
        "credential": "MSN, APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4012488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.