NPIMap

Individual provider Active NPI

Jennifer Tallman, NP-C

  • Family Nurse Practitioner
  • Tullahoma, TN
National Provider Identifier
1295268654
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22528 Issued in TN
Practice address
100 William Northern Blvd
Tullahoma, TN 37388-4754
Phone
(931) 454-0489
NPI assigned
Apr 4, 2017
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22528 TN Primary

Addresses

Primary practice location

100 William Northern Blvd
Tullahoma, TN 37388-4754

Mailing address

100 William Northern Blvd
Tullahoma, TN 37388-4754
Phone (931) 454-0489

Other practice location 1

218 Pike St
Marietta, OH 45750-3319
Phone (740) 236-4871

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jtallman261950@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address jennifer.tallman@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210506000902 WV Practitioner - Nurse Practitioner 5890051429 Reassigns benefits to 2 organizations
I20250626001377 OH Practitioner - Nurse Practitioner 5890051429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

400 Matthew St
Suite 211
Marietta, OH 45750-1656
Phone (740) 236-4871

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22528TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Memorial Hospital CurrentSince Aug 1, 2025 Accepting new patients
Ritchie County Primary Care Assoc., Inc. Current Accepting new patients
Ritchie County Primary Care Assoc., Inc. CurrentSince Mar 7, 2022 Accepting new patients
Ritchie County Primary Care Assoc., Inc. CurrentSince Mar 7, 2022 Accepting new patients
Ritchie County Primary Care Assoc., Inc. CurrentSince Mar 7, 2022 Accepting new patients
Marietta Memorial Hospital CurrentSince Aug 1, 2025 Accepting new patients
Ritchie County Primary Care Assoc., Inc. Past Accepting new patients
Ritchie County Primary Care Assoc., Inc. Past Accepting new patients
Ritchie County Primary Care Assoc., Inc. Past Accepting new patients

Locations

L4162
Columbus, OH 43260

400 Matthew St
Ste 211
Marietta, OH 45750
Phone (740) 236-4871

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

1201 E Main St
Harrisville, WV 26362

135 S Penn Ave
Harrisville, WV 26362
Phone (304) 343-4005

1200 Stephenson Ave
Parkersburg, WV 26101
Phone (304) 420-5819

1513 Blizzard Dr
Parkersburg, WV 26101
Phone (304) 699-0809

512 Collins Ave
Pennsboro, WV 26415

2330 N Pleasants Hwy
Saint Marys, WV 26170
Phone (855) 552-8907

317 Washington St
Saint Marys, WV 26170

151 Doddridge County School Rd
West Union, WV 26456
Phone (304) 873-0060

79 Bulldog Dr
West Union, WV 26456

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1295268654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILLIAM NORTHERN BLVD",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373884754",
            "telephone_number": "931-454-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILLIAM NORTHERN BLVD",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373884754",
            "telephone_number": "931-454-0489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Pike St",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457503319",
            "country_code": "US",
            "telephone_number": "740-236-4871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLMAN",
        "first_name": "JENNIFER",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtallman261950@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 Grand Central Mall Ste 4",
            "city": "Vienna",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261054100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.tallman@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "400 Matthew St Ste 211",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.