Individual provider Active NPI

Tamara Perryman, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Oak Creek, WI
National Provider Identifier
1255688339
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
227034 Issued in AZ
Practice address
1240 W Riverside Dr
Oak Creek, WI 53154-3755
Phone
(414) 426-0467
NPI assigned
Aug 8, 2012
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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 140556 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 227034 AZ Primary

Addresses

Primary practice location

1240 W Riverside Dr
Oak Creek, WI 53154-3755

Mailing address

4650 S Howell Ave
Milwaukee, WI 53207-5906
Phone (414) 301-6381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220926003300 AZ Practitioner - Nurse Practitioner 5496773244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recovery Innovations IncGroup PAC ID 1456500628, 54 clinicians
Mind 247 Practice LLCGroup PAC ID 6406253541, 33 clinicians

Practice addresses (Care Compare)

11361 N 99TH Ave
Suite 402
Peoria, AZ 85345-5459

1138 S Higley Rd
Mesa, AZ 85206-3000
Phone (844) 646-3247

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
140556WIMDFamily Nurse Practitioner
227034AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Innovations, Inc CurrentSince Jan 6, 2025 Accepting new patients
Mind 247 Practice LLC CurrentSince Jun 11, 2022 Accepting new patients
Recovery Innovations, Inc Current Accepting new patients
Mind 247 Practice LLC CurrentSince Jun 11, 2022 Accepting new patients
Mind 247 Practice LLC Current Accepting new patients
Recovery Innovations, Inc CurrentSince Jan 6, 2025 Accepting new patients
Horizon Behavioral Health LLC Current Accepting new patients

Locations

1138 S Higley Rd
Mesa, AZ 85206
Phone (480) 325-3876

1220 S Higley Rd
Ste 201
Mesa, AZ 85206
Phone (480) 529-7125

11361 N 99th Ave
Ste 107
Peoria, AZ 85345
Phone (602) 636-4605

11361 N 99th Ave
Ste 402
Peoria, AZ 85345
Phone (602) 636-4379

10046 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 674-5515

10046 N Metro Pkwy W
Ste 115
Phoenix, AZ 85051
Phone (602) 674-5515

2701 N 16th St
Ste 122
Phoenix, AZ 85006
Phone (602) 636-4410

2701 N 16th St
Ste 316
Phoenix, AZ 85006

2728 N 24th St
Phoenix, AZ 85008
Phone (480) 482-7020

1465 N Scottsdale Rd
Ste 400
Scottsdale, AZ 85257
Phone (602) 834-0404

Organizations & group practices 7

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": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1255688339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 S HOWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532075906",
            "telephone_number": "414-301-6381",
            "fax_number": "414-301-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 W RIVERSIDE DR",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543755",
            "telephone_number": "414-426-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRYMAN",
        "first_name": "TAMARA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "140556",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "227034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

Verify at the official NPI Registry.