Individual provider Active NPI

Tammy Drerup, O.P.A.C., R.T.

  • Registered Nurse
  • Humble, TX
National Provider Identifier
1215927488
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
982426 Issued in TX
Practice address
7510 Echo Pines Dr
Humble, TX 77346-3140
Phone
(281) 989-7442
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X
Registered Nurse 163W00000X 982426 TX Primary

Addresses

Primary practice location

7510 Echo Pines Dr
Humble, TX 77346-3140

Mailing address

7510 Echo Pines Dr
Humble, TX 77346-3140
Phone (281) 989-7442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
982426TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tadre, LLC Registered Nurse CurrentSince Jul 17, 2021 Accepting new patients

Organizations & group practices 1

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1215927488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 ECHO PINES DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463140",
            "telephone_number": "281-989-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 ECHO PINES DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463140",
            "telephone_number": "281-989-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRERUP",
        "first_name": "TAMMY",
        "credential": "O.P.A.C., R.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "982426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.