Stacy Shannon Tammi, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

125235 Issued in NC

Practice address

5 Moore Drive
Durham, NC 27709-3398

Phone

(919) 483-1540

NPI assigned

Apr 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1336314780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13398",
            "address_2": "5 MOORE DRIVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277093398",
            "telephone_number": "919-483-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MOORE DRIVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277093398",
            "telephone_number": "919-483-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMMI",
        "first_name": "STACY",
        "middle_name": "SHANNON",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "125235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Chung Kay Tam, MBBS
• Tamarasa Therapy PLLC
• Ismael Tamba, DO
• Lucy Danielle Tamberrino, OTR/L
• Amy Marie Tammenga, FNP
• Kyle Scott Tamminga, M.D.
• Tammy Holcomb, PLLC
• Phillip Charles Tampis, PHARMD
• Danny Tan
• Habb Meng Tan

• Adult Health Nurse Practitioner in Durham, NC
• Providers in Durham, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.