Individual provider Active NPI

Tamara Burger, CNM

  • Advanced Practice Midwife
  • Johnson City, NY
National Provider Identifier
1205873387
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F001092 Issued in NY
Practice address
401 Main St Ste 1
Johnson City, NY 13790-2065
Phone
(607) 754-9870
Fax
(607) 785-9862
NPI assigned
May 31, 2006
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F001092 NY Primary

Addresses

Primary practice location

401 Main St Ste 1
Johnson City, NY 13790-2065

Mailing address

401 Main St Ste 1
Johnson City, NY 13790-2065
Phone (607) 754-9870

Other identifiers 1

IdentifierTypeStateIssuer
02382043MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060202000690 NY Practitioner - Certified Nurse Midwife (CNM) 5193739753 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
001092NYMDPsychoanalyst
F001092NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Womens OBGYN PC CurrentSince Apr 29, 2021 Accepting new patients
Obstetrical-Gynecological Associates of the Southern Tier, P.C. Current Accepting new patients
United Health Services Hospitals, Inc. PastSince Jan 1, 2010 Accepting new patients

Locations

401 Main St
Ste 1
Johnson City, NY 13790
Phone (607) 754-9870

Organizations & group practices 3

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1205873387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MAIN ST STE 1",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902065",
            "telephone_number": "607-754-9870",
            "fax_number": "607-785-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MAIN ST STE 1",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902065",
            "telephone_number": "607-754-9870",
            "fax_number": "607-785-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGER",
        "first_name": "TAMARA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02382043",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.