Tammy Whitacre

Primary specialty

SpecialistTaxonomy code 174400000X

License

001242 Issued in IA

Practice address

3540 E 46TH St
Davenport, IA 52807-3403

Phone

(563) 359-3828

NPI assigned

Apr 4, 2014

Last updated

Apr 4, 2014By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Concentra

  dba Concentra Urgent Care

  • PACE Provider Organization
  • Davenport, IA
  • NPI 1457778870
  Authorized official Same address or phone

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1275951329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2481 HUMMINGBIRD LN",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527618435",
            "telephone_number": "563-571-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 E 46TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073403",
            "telephone_number": "563-359-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITACRE",
        "first_name": "TAMMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "001242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon West, LMSW, LISW, LCSW
• Jeffrey Grant Weyeneth, MD
• Benjamin Weyer
• Johanna B Whalen, MD
• Aleah Lynne Whan
• Tyler John Whitcomb, DO
• Craig Evan White, RPH, MS
• Daniel A White, PT
• Peter Andrew White III, PA
• Melissa Jo Whitehouses-Holcomb

• Specialist in Davenport, IA
• Providers in Davenport, IA by specialty
• Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.