Individual provider Active NPI

Tamarah Threat, NP-C

  • Primary Care Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1346834546
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN228456 Issued in GA
Practice address
478 Northdale Rd Ste 201
Lawrenceville, GA 30046-8902
Phone
(770) 820-4105
NPI assigned
Feb 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN228456 GA Primary

Addresses

Primary practice location

478 Northdale Rd Ste 201
Lawrenceville, GA 30046-8902

Mailing address

835 Paper Creek Dr
Lawrenceville, GA 30046-5356
Phone (770) 820-4105

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL tthreat@stedfasthomecare.com

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

State licenses

LicenseStateTypeSpecialty
RN228456GAMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1346834546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 PAPER CREEK DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465356",
            "telephone_number": "770-820-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 NORTHDALE RD STE 201",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468902",
            "telephone_number": "770-820-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THREAT",
        "first_name": "TAMARAH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN228456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tthreat@stedfasthomecare.com",
            "affiliation": "N",
            "address_1": "478 Northdale Rd Ste 201",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300468902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.