Individual provider Active NPI

Tammy M. Daugherty, MSN, CNM

  • Advanced Practice Midwife
  • Boardman, OH
National Provider Identifier
1285626556
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN.CNM.00180 Issued in OH
Practice address
8423 Market St FL 3
Boardman, OH 44512-6778
Phone
(330) 729-7901
Fax
(330) 729-7915
NPI assigned
Aug 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN.CNM.00180 OH Primary

Addresses

Primary practice location

8423 Market St FL 3
Boardman, OH 44512-6778

Mailing address

819 Southwestern Run
Unit 1
Poland, OH 44514-3688
Phone (330) 629-9991

Other practice location 1

8401 Market St
Boardman, OH 44512-6725
Phone (330) 729-4350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120425000513 OH Practitioner - Certified Nurse Midwife (CNM) 7214958255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8401 Market St
Boardman, OH 44512-6725
Phone (330) 729-8718

Hospital & facility affiliations

  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Dec 1, 2024 Accepting new patients
Midwifery Care, Inc. Advanced Practice Midwife CurrentSince Oct 1, 1997 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

819 Southwestern Run
Ste 1
Youngstown, OH 44514
Phone (330) 629-9991

8423 Market St
Fl 3
Youngstown, OH 44512
Phone (330) 729-7901

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

8423 Market St
Ste 207
Youngstown, OH 44512
Phone (330) 729-7901

Interoperability endpoints

  • Direct secure messaging: tdaugherty@395.securemail.prognocis.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1285626556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 SOUTHWESTERN RUN",
            "address_2": "UNIT 1",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143688",
            "telephone_number": "330-629-9991",
            "fax_number": "330-629-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8423 MARKET ST FL 3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126778",
            "telephone_number": "330-729-7901",
            "fax_number": "330-729-7915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 Market St",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "445126725",
            "country_code": "US",
            "telephone_number": "330-729-4350",
            "fax_number": "330-729-4351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "TAMMY",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "MSN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "APRN.CNM.00180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.