Individual provider Active NPI

Tammy D. Owens, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1306098249
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402831 Issued in NY
Practice address
531 Farber Lakes Dr
Buffalo, NY 14221-5773
Phone
(716) 633-1927
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 283777 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402831 NY Primary

Addresses

Primary practice location

531 Farber Lakes Dr
Buffalo, NY 14221-5773

Mailing address

531 Farber Lakes Dr Ste 202
Buffalo, NY 14221-5773
Phone (716) 633-1927

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210127000135 NY Practitioner - Nurse Practitioner 6204240633 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Erie Mental Health Services IncGroup PAC ID 5496707945, 33 clinicians

Practice addresses (Care Compare)

1526 Walden Ave
Suite 400
Cheektowaga, NY 14225-4985
Phone (716) 895-7167

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Dale Association, Inc. Licensed Practical Nurse CurrentSince Feb 5, 2021 Accepting new patients
Inspiring Care LLC Current Accepting new patients
Brylin Hospitals, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Brylin Hospitals, Inc. CurrentSince Jan 2, 2021 Accepting new patients
Mid Erie Mental Health Services Inc CurrentSince May 31, 2022 Accepting new patients
Orenda Psychiatry PLLC Psychiatric/Mental Health Past Accepting new patients

Locations

463 William St
Buffalo, NY 14204
Phone (716) 852-0383

1263 Delaware Ave
Buffalo, NY 14209
Phone (716) 219-3636

1526 Walden Ave
Ste 400
Cheektowaga, NY 14225
Phone (716) 895-7167

33 Ontario St
Lockport, NY 14094
Phone (716) 433-1937

89 River Rd
North Tonawanda, NY 14120
Phone (716) 693-9961

531 Farber Lakes Dr
Ste 102
Williamsville, NY 14221
Phone (716) 632-5450

531 Farber Lakes Dr
Williamsville, NY 14221
Phone (716) 632-1595

531 Farber Lakes Dr
Ste 202
Williamsville, NY 14221
Phone (716) 632-5450

Organizations & group practices 6

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": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1306098249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 FARBER LAKES DR STE 202",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142215773",
            "telephone_number": "716-633-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 FARBER LAKES DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142215773",
            "telephone_number": "716-633-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "TAMMY",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "283777",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.