Individual provider Active NPI

Tammy Elaine Musgrove

  • Personal Care Attendant
  • Live Oak, FL
National Provider Identifier
1235602483
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
16150 40TH St
Live Oak, FL 32060-8015
Phone
(386) 590-6961
Fax
(386) 362-5005
NPI assigned
Jan 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X FL Primary

Addresses

Primary practice location

16150 40TH St
Live Oak, FL 32060-8015

Mailing address

16150 40TH St
Live Oak, FL 32060-8015
Phone (386) 590-6961

Other names 1

  • Mrs. Tammy Jenkins Newman Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1235602483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16150 40TH ST",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320608015",
            "telephone_number": "386-590-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 40TH ST",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320608015",
            "telephone_number": "386-590-6961",
            "fax_number": "386-362-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSGROVE",
        "first_name": "TAMMY",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "NEWMAN",
            "middle_name": "JENKINS",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Live Oak, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.