Tami Jo Mayberry, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

113851 Issued in NE

Practice address

140 N 4TH St
Elmwood, NE 68349-2269

Phone

(402) 659-9084

Fax

(402) 994-4099

NPI assigned

May 22, 2018

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

Medicare fee-for-service enrollment

Enrolled in NE, IA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Omaha Insomnia and Psychiatric Services, LLC

  • Psychiatry Physician
  • Omaha, NE
  • NPI 1477922318
  Medicare reassignment NPD
• Ven Whole Healthcare LLC

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1508522350
  Medicare reassignment NPD
• Ven Healthcare Council Bluffs LLC

  • Psychiatry Physician
  • Council Bluffs, IA
  • NPI 1306526116
  Medicare reassignment NPD
• Cord Where Science Meets Connection LLC

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1558995662
  NPD
• Omaha Insomnia and Psychiatric Services, LLC

  • Psychiatry Physician
  • Omaha, NE
  • NPI 1740623057
  NPD

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1225529563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N 4TH ST",
            "city": "ELMWOOD",
            "state": "NE",
            "postal_code": "683492269",
            "telephone_number": "402-659-9084",
            "fax_number": "402-994-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N 4TH ST",
            "city": "ELMWOOD",
            "state": "NE",
            "postal_code": "683492269",
            "telephone_number": "402-659-9084",
            "fax_number": "402-994-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBERRY",
        "first_name": "TAMI",
        "middle_name": "JO",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Lynn Hamor
• Bobbi M Hohman
• Bryan Edward Hufstader, D.C.
• Sally Kate Hufstader, DC
• Lifetime Wellness Clinic of Chiropractic PC
• Elissa Rae McGill, LIMHP
• Carrie Nunez
• Sara Rundquist
• Tracey L Hamor LLC

• Family Nurse Practitioner in Elmwood, NE
• Providers in Elmwood, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.