Individual provider Active NPI

Tammy Renee Hawkins, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1215212089
Registry record updated Oct 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
A03313ANP Issued in AR
Practice address
1150 E Matthews Ave Ste a
Jonesboro, AR 72401-4346
Phone
(870) 926-3463
NPI assigned
Oct 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A03313 ANP AR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X A03313ANP AR Primary

Addresses

Primary practice location

1150 E Matthews Ave Ste a
Jonesboro, AR 72401-4346

Mailing address

300 Carson St
Jonesboro, AR 72401-3104
Phone (870) 932-1198

Other practice location 1

300 Carson St
Jonesboro, AR 72401-3104
Phone (870) 932-1198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20111024000186 AR Practitioner - Nurse Practitioner 2567493281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Breaking Chains Mental Health and Wellness, PLLCGroup PAC ID 3072033943, 2 clinicians

Practice addresses (Care Compare)

2702 S Culberhouse St
Suite O
Jonesboro, AR 72401-7104
Phone (870) 306-6999

818 E Matthews
Suite B
Jonesboro, AR 72401-3048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A03313 ANPARMDFamily Nurse Practitioner
A03313ANPARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Breaking Chains Mental Health and Wellness, PLLC Psychiatric/Mental Health CurrentSince Feb 15, 2025 Accepting new patients
Renew Mental Health and Wellness, LLC CurrentSince Jun 12, 2020 Accepting new patients
Renew Mental Health and Wellness LLC Psychiatric/Mental Health CurrentSince Jun 12, 2020 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1150 E Matthews Ave
Ste 101A
Jonesboro, AR 72401
Phone (870) 243-0424

317 S Church St
Jonesboro, AR 72401
Phone (870) 306-6999

818 E Matthews Ave
Ste B
Jonesboro, AR 72401

Organizations & group practices 4

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": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729987200000",
    "number": "1215212089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CARSON ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013104",
            "telephone_number": "870-932-1198",
            "fax_number": "870-910-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E MATTHEWS AVE STE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014346",
            "telephone_number": "870-926-3463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Carson St",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724013104",
            "country_code": "US",
            "telephone_number": "870-932-1198",
            "fax_number": "870-910-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "TAMMY",
        "middle_name": "RENEE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03313 ANP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A03313ANP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.