Individual provider Active NPI

Tammy Lynn Baergen-White, RN

  • Administrator Registered Nurse
  • West Palm Beach, FL
National Provider Identifier
1306232780
Registry record updated Apr 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
9313985 Issued in FL
Practice address
1794 Palisades Dr
West Palm Beach, FL 33411-6330
Phone
(817) 925-9416
NPI assigned
Apr 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 9313985 FL Primary
Administrator Registered Nurse 163WA2000X 604719 TX
Administrator Registered Nurse 163WA2000X 1-1497171 AL

Addresses

Primary practice location

1794 Palisades Dr
West Palm Beach, FL 33411-6330

Mailing address

1794 Palisades Dr
West Palm Beach, FL 33411-6330
Phone (817) 925-9416

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-1497171ALMDAdministrator Registered Nurse
9313985FLMDAdministrator Registered Nurse
604719TXMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Green Surgery Center LLC Current Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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": "1428796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428796800000",
    "number": "1306232780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1794 PALISADES DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334116330",
            "telephone_number": "817-925-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1794 PALISADES DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334116330",
            "telephone_number": "817-925-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAERGEN-WHITE",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-12",
        "last_updated": "2015-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "FL",
            "license": "9313985",
            "primary": true
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "604719",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "AL",
            "license": "1-1497171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2015; 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.