Tami Lynn Wacker, MA

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

044.011785 Issued in IL

Practice address

1303 N Canal St Apt 28
Carlsbad, NM 88220-4668

Phone

(575) 302-1666

NPI assigned

Apr 25, 2024

Last updated

Dec 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Advanced Ambulatory Surgery Center of Carlsbad NM, LLC

  dba Current Clinic Carlsbad Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Carlsbad, NM
  • NPI 1689393746
  NPD
• Advanced Heart & Vascular Center of Carlsbad New Mexico

  dba Advanced Heart & Vascular Center of NM

  • Cardiovascular Disease Physician
  • Carlsbad, NM
  • NPI 1417600230
  NPD

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1275389728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 N CANAL ST APT 28",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204668",
            "telephone_number": "575-302-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 N CANAL ST APT 28",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204668",
            "telephone_number": "575-302-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACKER",
        "first_name": "TAMI",
        "middle_name": "LYNN",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "IL",
            "license": "044.011785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Vega, PA
• Cally Vetter, RDN, LD
• Sophia Ann Villalobos, APN
• John (Jack) Silvio Volpato Jr., RPH,PHC
• Lakshmy Mathur Vythilingam, M.D.
• Valerie Waddle, LCSW
• Keng Man Wai, PHARMD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0868)
• Wal-Mart Stores East, LP (Vision Center 30-0868)
• Walgreen Co (Walgreens #07930)

• Nursing Home Administrator in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Nursing Home Administrator in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.