Individual provider Active NPI

Tammy J Watkins, D.C.

  • Chiropractor
  • Clive, IA
National Provider Identifier
1285613752
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06816 Issued in IA
Practice address
2555 Berkshire Pkwy Ste F
Clive, IA 50325-4646
Phone
(515) 987-6332
Fax
(515) 978-6455
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06816 IA Primary

Addresses

Primary practice location

2555 Berkshire Pkwy Ste F
Clive, IA 50325-4646

Mailing address

2555 Berkshire Pkwy Ste F
Clive, IA 50325-4646
Phone (515) 987-6332

Other names 1

  • Dr. Tammy J Walz 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
06816IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Shaw Chiropractic and Sports Injury Center Chiropractor PastSince Feb 6, 2019 Accepting new patients
Livewell Clinic LLC Chiropractor PastSince Apr 2, 2011 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEEBAA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1285613752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 BERKSHIRE PKWY STE F",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254646",
            "telephone_number": "515-987-6332",
            "fax_number": "515-978-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 BERKSHIRE PKWY STE F",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254646",
            "telephone_number": "515-987-6332",
            "fax_number": "515-978-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "TAMMY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "WALZ",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.